Individual
MRS. CLAIRE LOUISE GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
622 W 168TH ST, NEW YORK, NY 10032-3720
(212) 342-5155
(232) 305-4885
Mailing address
630 WEST 168TH STREET, BOX 4, NEW YORK, NY 10032-3725
(212) 342-5155
(212) 305-4885
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
268502
NY
Other
Enumeration date
11/22/2013
Last updated
11/22/2013
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