Individual
DR. CAROL D GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4 BURKE LN, SYOSSET, NY 11791-3931
(516) 921-6610
(516) 921-1389
Mailing address
4 BURKE LN, SYOSSET, NY 11791-3931
(516) 921-6610
(516) 921-1389
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
162652
NY
Other
Enumeration date
04/22/2006
Last updated
11/05/2011
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