Individual
KENNETH LAWRENCE GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
75 CHESTNUT ST., ONEONTA, NY 13820
(607) 433-1663
Mailing address
75 CHESTNUT ST., ONEONTA, NY 13820
(607) 433-1663
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
135128
NY
Other
Enumeration date
02/09/2007
Last updated
03/24/2010
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