Gordon, Charles Richard

Gordon, Charles Richard is an individual health care provider with primary practice located at 200 Cabrini Blvd Suite 17, New York NY 10033-1100. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adolescent Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Adolescent Medicine is his primary health care specialty. Gordon, Charles Richard can be contacted via phone (212) 928-0555.

Contact Information

Primary practice address
200 Cabrini Blvd Suite 17 New York NY 10033-1100
Phone: (212) 928-0555
Fax: (212) 740-2934
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 207QA0000X 140363 New York
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 140363 New York

Profile Details

NPI number 1326049529
LBN Legal business name Gordon, Charles Richard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2005
Last updated Jul 8th, 2007 - about 18 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.

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