Individual
MILES PHILLIP GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
622 W 168TH ST # VC260, NEW YORK, NY 10032-3720
(646) 317-4590
Mailing address
622 W 168TH ST # VC260, NEW YORK, NY 10032-3720
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
297915-1
NY
Other
Enumeration date
05/04/2016
Last updated
05/30/2023
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