Individual
DR. STEPHEN GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3959 BROADWAY, COLUMBIA UNIVERSITY DEPARTMENT PEDIATRICS, NEW YORK, NY 10032-1559
(212) 304-7250
Mailing address
8100 RIVER RD APT 803, NORTH BERGEN, NJ 07047-7216
(917) 583-4575
Taxonomy
Speciality
Code
Description
License number
State
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
195143
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01487503
—
NY
Enumeration date
03/21/2006
Last updated
06/05/2023
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