Organization
GORDON C DAVIS MEDICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GORDON C DAVIS DO (PRESIDENT)
(718) 566-0022
Entity
Organization
Contact information
Practice address
1611 E NEW YORK AVE, BROOKLYN, NY 11212-6860
(718) 566-0022
Mailing address
1611 E NEW YORK AVE, BROOKLYN, NY 11212-6860
(178) 566-0022
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
12/03/2007
Last updated
12/03/2007
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