Organization
LESLIE E. GORDON, MD P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LESLIE ELLEN GORDON MD (OWNER)
(917) 531-0197
Entity
Organization
Contact information
Practice address
2600 NETHERLAND AVE STE 102, BRONX, NY 10463-4813
(718) 709-0955
Mailing address
2600 NETHERLAND AVE STE 102, BRONX, NY 10463-4813
(718) 709-0955
Taxonomy
Speciality
Code
Description
License number
State
207WX0120X
Cornea and External Diseases Specialist Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1104038231
EMPIRE BCBS
NY
01
—
112358021
1199
NY
01
—
408107
GHI
NY
01
—
6922512
CIGNA
NY
01
—
9123112
AETNA
NY
01
—
P3908626
OXFORD
NY
Enumeration date
12/09/2020
Last updated
07/02/2021
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