NPI 1396036372

Mark Gordon, MD, PC

Organisation Specialist White Plains, NY

Practice location

Address: 2 Longview Ave STE 302, White Plains, NY 10601-5000
Phone: (914) 684-5884
Fax: (914) 684-6178

Authorised official

Name: Mark S Gordon
Title: President
Phone: (914) 684-5884

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence 155799 (NY)

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Registry record

NPI: 1396036372
Entity type: Organization
NPI issued: 26 Apr 2011
Record last updated: 26 Apr 2011

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.