Individual
WAYNE GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5 E. 98TH STREET, 6TH FLOOR BOX 1240 B, NEW YORK, NY 10029
(212) 659-9363
(212) 348-5901
Mailing address
5 E. 98TH STREET, 6TH FLOOR BOX 1240 B, NEW YORK, NY 10029
(212) 659-8353
(212) 348-5901
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
004201-1
NY
Other
Enumeration date
03/14/2006
Last updated
04/11/2011
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