Individual
DR. MICHAEL GORDON
Active
Individual
DR. MICHAEL GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
305484
NY
208D00000X
General Practice Physician
305484
NY
Other
Enumeration date
04/03/2019
Last updated
11/05/2024
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