Individual
BRUCE LEWIS GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 BYRAM BROOK PL, ARMONK, NY 10504-2316
(914) 820-0000
Mailing address
1 BYRAM BROOK PL, ARMONK, NY 10504-2316
(914) 820-0000
(914) 949-4505
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
111088
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00198861
—
NY
Enumeration date
06/12/2006
Last updated
02/01/2022
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