Individual
MR. DAVID JEFFERY GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
224 BEACH 20TH ST, FAR ROCKAWAY, NY 11691-3618
(718) 327-3968
(718) 228-4815
Mailing address
224 BEACH 20TH ST, FAR ROCKAWAY, NY 11691-3618
(718) 327-3968
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
N006085
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02778045
—
NY
Enumeration date
04/03/2006
Last updated
01/28/2021
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