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Individual

DR. JOSHUA A GORDON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D., PH.D.

Contact information

Practice address
171 W 79TH ST, NEW YORK, NY 10024-6449
(646) 554-7169
(212) 543-1174
Mailing address
171 W 79TH ST, NEW YORK, NY 10024-6449
(646) 554-7169
(212) 543-1174

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
211079
NY

Other

Enumeration date
04/19/2007
Last updated
07/08/2007
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