Individual
NICOLAS GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
550 1ST AVE, NEW YORK, NY 10016-6402
(646) 929-7800
Mailing address
353 GROVE ST APT 1A, JERSEY CITY, NJ 07302-2973
(917) 474-5667
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
MT221413
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/13/2020
Last updated
06/05/2025
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