Individual
LAURIE GORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
525 E 68TH ST, NEW YORK, NY 10065-4870
(646) 962-5437
Mailing address
525 E 68TH ST, NEW YORK, NY 10065-4870
(646) 962-5437
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
159243
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00864719
—
NY
Enumeration date
09/29/2006
Last updated
09/11/2025
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