Individual
DR. ROBERT MARC GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
201 E 28TH ST, NEW YORK, NY 10016-8538
(212) 263-6166
(212) 263-6166
Mailing address
201 E 28TH ST, NEW YORK, NY 10016-8538
(212) 263-6166
(212) 263-6166
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
009174
NY
283X00000X
Rehabilitation Hospital
009174
NY
Other
Enumeration date
08/08/2011
Last updated
08/08/2011
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