Individual provider · Type 1 NPI
Claire Louise Gordon, MD
General Practice Physician · New York, NY
NPI number
1861822140
Active
Practice location
622 W 168th St
New York, NY 10032-3720
Fax (232) 305-4885
Mailing address
630 West 168th Street, Box 4
New York, NY 10032-3725
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | 268502 (NY) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
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About NPI 1861822140
Claire Louise Gordon, MD's National Provider Identifier is 1861822140, issued on Nov 22, 2013. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in New York, NY. The record was last updated on Nov 22, 2013.