Individual
DR. BARBARA FAITH GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1854 BEDFORD AVE, BROOKLYN, NY 11225-5006
(718) 462-0018
(718) 462-0061
Mailing address
1854 BEDFORD AVE, BROOKLYN, NY 11225-5006
(718) 462-0018
(718) 462-0061
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
203809
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01896991
—
NY
Enumeration date
04/06/2006
Last updated
04/14/2011
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