PETER ELIOT GORDON M.D. NPI 1154316230

NPI Information

Peter Eliot Gordon, M.D. is an emergency medical services emergency medicine in Brooklyn, NY. The provider is an emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. Peter Eliot Gordon, M.D. NPI is 1154316230. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

218 BALTIC ST
BROOKLYN, NY
ZIP 11201-620
Phone: (718) 866-6521
Fax: (718) 666-5212

The NPI 1154316230 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/15/2005 and was last updated on 4/6/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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