Organization
NEW YORK PAIN MANAGEMENT PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES GORDON MD (PRESIDENT)
(518) 371-0777
Entity
Organization
Contact information
Practice address
9 OLD PLANK RD, CLIFTON PARK, NY 12065-3107
(518) 371-0777
Mailing address
9 OLD PLANK RD, SUITE 100, CLIFTON PARK, NY 12065-3107
(518) 283-5418
(518) 283-5421
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Enumeration date
06/29/2006
Last updated
09/09/2011
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