Gordon, Brian M
Gordon, Brian M is an individual health care provider with primary practice located at 530 Liberty St , Schenectady NY 12305-2014. He recently has 5 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine, Allopathic & Osteopathic Physicians / Foot and Ankle Surgery, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Gordon, Brian M can be contacted via phone (518) 382-7200.Contact Information
Primary practice address
530 Liberty St
Schenectady NY 12305-2014
Phone: (518) 382-7200
Fax: (518) 382-7205
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 209643 | New York |
| Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery | 207XS0114X | 209643 | New York |
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine | 207XS0117X | 209643 | New York |
| Allopathic & Osteopathic Physicians / Foot and Ankle Surgery | 207XX0004X | 209643 | New York |
| Allopathic & Osteopathic Physicians / Sports Medicine | 207XX0005X | 209643 | New York |
Profile Details
| NPI number | 1982694014 |
|---|---|
| LBN Legal business name | Gordon, Brian M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 28th, 2005 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1982694014 | NPPES |
| New York | MEDICAID | 01935579 |
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