Individual provider · Type 1 NPI

Brian Phillip Glen Gordon Sr.

Driver · Buffalo, NY

NPI number 1740509165 Active

Practice location

29 Cambridge Ave, 29 Cambridge Ave.
Buffalo, NY 14215-4001

Call (716) 931-9899 Map

Specialties and licenses

TaxonomyCodeLicense
Driver Primary 172A00000X607953011 (NY)

Driver: A person employed to operate a motor vehicle as a carrier of persons or property.

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About NPI 1740509165

Brian Phillip Glen Gordon Sr.'s National Provider Identifier is 1740509165, issued on May 25, 2010. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Buffalo, NY. The record was last updated on May 25, 2010.