Individual provider · Type 1 NPI

Lara Gordon, MD

Pediatric Adolescent Medicine Physician · New York, NY

NPI number 1417015116 Active

Practice location

215 E 79th St
New York, NY 10021-0847

Call (212) 737-7800 Map

Fax (212) 737-0251

Specialties and licenses

TaxonomyCodeLicense
Pediatric Adolescent Medicine Physician Primary 2080A0000X219564-1 (NY)

Pediatric Adolescent Medicine Physician: A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

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About NPI 1417015116

Lara Gordon, MD's National Provider Identifier is 1417015116, issued on Dec 5, 2006. The primary taxonomy on file is Pediatric Adolescent Medicine Physician (2080A0000X), and the practice location is in New York, NY. The record was last updated on Jul 8, 2007.