Individual
DR. MARC AARON GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
10219 ROOSEVELT AVE, CORONA, NY 11368-2331
(718) 290-3566
(718) 507-2729
Mailing address
10219 ROOSEVELT AVE, CORONA, NY 11368-2331
(718) 290-3566
(718) 507-2729
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
27OA00619000
NJ
152W00000X
Optometrist
OPC4132
FL
152W00000X
Optometrist
Primary
TUV007126-1
NY
Other
Enumeration date
12/01/2006
Last updated
04/29/2011
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