Individual provider · Type 1 NPI

Alexis Gordon

Medical Physician Assistant · New Hartford, NY

NPI number 1629866249 Active

Practice location

1729 Burrstone Rd
New Hartford, NY 13413-1001

Call (315) 798-1702 Map

Fax (315) 798-1726

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XNone listed

Medical Physician Assistant: Definition to come...

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About NPI 1629866249

Alexis Gordon's National Provider Identifier is 1629866249, issued on Apr 25, 2025. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in New Hartford, NY. The record was last updated on Apr 25, 2025.