DR. CHARLES RICHARD GORDON M.D. NPI 1326049529

NPI Information

NPI: 1326049529
Provider Name: DR. CHARLES RICHARD GORDON, M.D.
Classification: Family Medicine - 207QA0000X
Entity Type: Individual

Specialization: Adolescent Medicine

Address:
200 CABRINI BLVD
SUITE 17
NEW YORK, NY
ZIP 10033
Phone: (212) 928-0555
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DR. Charles Richard Gordon, M.D. is an adolescent medicine family medicine in New York, NY. The provider is a family medicine physician with multidisciplinary training in the unique physical, psychological and social characteristics of adolescents and their health care problems and needs. DR. Charles Richard Gordon, M.D. NPI is 1326049529. 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:

200 CABRINI BLVD
SUITE 17
NEW YORK, NY
ZIP 10033-100
Phone: (212) 928-0555
Fax: (212) 740-2934

The enumeration date for this NPI number is 8/10/2005 and was last updated on 7/8/2007.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207QA0000X	Family Medicine	Adolescent Medicine	140363	NEW YORK	Yes
2	208000000X	Pediatrics		140363	NEW YORK	X

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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