Individual
RICHARD E GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4271 HEMPSTEAD TPKE, SUITE 1, BETHPAGE, NY 11714
(516) 796-3700
(516) 796-3205
Mailing address
4271 HEMPSTEAD TPKE, SUITE 1, BETHPAGE, NY 11714
(516) 796-3700
(516) 796-3205
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
147478
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00895616
—
NY
Enumeration date
07/17/2006
Last updated
02/25/2021
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