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Individual

DR. BRIAN M GORDON

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
530 LIBERTY ST, SCHENECTADY, NY 12305-2014
(518) 382-7200
(518) 382-7205
Mailing address
530 LIBERTY ST, SCHENECTADY, NY 12305-2014
(518) 382-7200
(518) 382-7205

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
209643
NY
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
209643
NY
207XS0117X
Orthopaedic Surgery of the Spine Physician
209643
NY
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
209643
NY
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
209643
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01935579
NY
Enumeration date
10/28/2005
Last updated
09/11/2025
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