Whalio Doctors

NPI 1003979154

Charles R. Gordon,m.D. PC

Organisation Pediatrics Physician New York, NY

Practice location

Address
262 Central Park W Suite 1e, New York, NY 10024-3512
Phone
(212) 769-2668
Fax
(212) 362-8738

Authorised official

Name
Charles Richard Gordon
Title
M.D.
Phone
(212) 769-2668

Registered specialties

Pediatrics Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 208000000X Licence 140363 (NY)

Registry record

NPI
1003979154
Entity type
Organization
NPI issued
19 Dec 2006
Record last updated
22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.