Organization
ISLAND MEN'S MEDICAL HEALTH PRACTICE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARRY GORDON MD (PHYSICIAN)
(718) 979-4350
Entity
Organization
Contact information
Practice address
1551 RICHMOND RD, STATEN ISLAND, NY 10304-2313
(718) 979-4350
(718) 979-4825
Mailing address
1551 RICHMOND RD, STATEN ISLAND, NY 10304-2313
(718) 979-4350
(718) 979-4825
Taxonomy
Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
Primary
097198
NY
Other
Enumeration date
01/10/2013
Last updated
01/10/2013
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