Individual
DR. ELLIOTT GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
505 E 70TH ST FL 3, NEW YORK, NY 10021-4872
(646) 962-3869
(646) 962-0246
Mailing address
505 E 70TH ST FL 3, NEW YORK, NY 10021-4872
(646) 962-3869
(646) 962-0246
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
010611
GA
2080P0206X
Pediatric Gastroenterology Physician
Primary
311651-01
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/30/2018
Last updated
07/25/2024
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