Dr. Renauldo Gordon
Internal Medicine in Brooklyn, NY. Individual provider (NPI-1).
NPI number1073998670
StatusActive
Last updated in NPPESJul 28, 2015
Details
- NPI
- 1073998670
- Entity type
- Individual (NPI-1)
- Name
- Dr. Renauldo Gordon
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 23, 2015
- Last updated
- Jul 28, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | xxxxxxxx | NY | Yes |
Practice location
1503 Saint Johns PlBrooklyn, NY 11213-3910
Phone 646-673-1317
Mailing address
1503 Saint Johns PlBrooklyn, NY 11213-3910
Phone 646-673-1317
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