Whalio Doctors

NPI 1356306807

Michael A. Gordon, MD

Practitioner Otolaryngology Physician Garden City, NY

Practice location

Address
990 Stewart Ave Suite 610, Garden City, NY 11530-4838
Phone
(516) 222-1881
Fax
(516) 222-1885
Mailing address
660 White Plains Rd Fl 4, Tarrytown, NY 10591-5139

Registered specialties

Otolaryngology Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207Y00000X Licence 171522 (NY)

Registry record

NPI
1356306807
Entity type
Individual
Sex (as registered)
Male
NPI issued
19 Apr 2006
Record last updated
2 Apr 2019

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.