DR. ELISABETH GROOME GORDON M.D. NPI 1245495795

NPI Information

DR. Elisabeth Groome Gordon, M.D. is a student in an organized health care education training program in New York, NY. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. DR. Elisabeth Groome Gordon, M.D. NPI is 1245495795. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

200 E 72ND ST
APT. 21G
NEW YORK, NY
ZIP 10021-537
Phone: (917) 655-1669
Fax: (212) 861-1771

The enumeration date for this NPI number is 7/24/2008 and was last updated on 7/24/2008.

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:

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