Individual
DR. MICHAEL A. GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
990 STEWART AVE, SUITE 610, GARDEN CITY, NY 11530-4838
(516) 222-1881
(516) 222-1885
Mailing address
660 WHITE PLAINS RD FL 4, TARRYTOWN, NY 10591-5139
(914) 984-2546
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
171522
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01432640
—
NY
Enumeration date
04/19/2006
Last updated
04/02/2019
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