Charles Richard Gordon in New York - Adolescent Medicine
Charles Richard Gordon - NPI 1326049529
Charles Richard Gordon is a Adolescent Medicine in New York, New York. Charles Richard Gordon practices all healthcare services and medical treatments related to Adolescent Medicine. The NPI Number for Charles Richard Gordon is 1326049529. The last update date is 2007-07-08.
Charles Richard Gordon's current location address is 200 Cabrini Blvd, New York, New York. You can contact this provider via phone number 2129280555 and fax number 2127402934. The mailing address for Charles Richard Gordon is 200 Cabrini Blvd, New York, New York. To know further, please read the information below!
Provider Profile Detail
Provider Name | Charles Richard Gordon |
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Address | 200 Cabrini Blvd, New York, New York |
Phone Number | 2129280555 |
Fax Number | 2127402934 |
Sole Proprietor | X |
Credentials | M.D. |
NPI Number Detail
NPI Number | 1326049529 |
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Provider Enumeration Date | 2005-08-10 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 200 Cabrini Blvd |
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City | New York |
State | New York (NY) |
Post Code | 100331100 |
Phone Number | 2129280555 |
Fax Number | 2127402934 |
Provider's Primary Taxonomy Detail
Speciality | Adolescent Medicine |
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Taxonomy | 207Qa0000X |
Licence No | 140363 |
Definition: A family medicine physician with multidisciplinary training in the unique physical, psychological and social characteristics of adolescents and their health care problems and needs. |
Post Comment/ Review Below
What is the unique provider identifier assigned to Charles Richard Gordon?
The Charles Richard Gordon has been issued the NPI (National Provider Identifier) 1326049529 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete physical address where Charles Richard Gordon is located?
The Charles Richard Gordon is situated at the following address: 200 Cabrini Blvd, New York, NY, 100331100.
What is Charles Richard Gordon's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Charles Richard Gordon is Adolescent Medicine, and the taxonomy code that categorizes this field of expertise is 207Qa0000X.
On what date did the Charles Richard Gordon receive the assignment of its 1326049529 from the Centers for Medicare & Medicaid Services?
The Charles Richard Gordon was issued its 1326049529 by the Centers for Medicare & Medicaid Services on 2005-08-10.
As of what date was the information regarding Charles Richard Gordon, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Charles Richard Gordon, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.