Dr. Adam Mark Gordon, MD
Student in an Organized Health Care Education/Training Program in Brooklyn, NY. Individual provider (NPI-1).
NPI number1447954169
StatusActive
Last updated in NPPESMar 28, 2023
Details
- NPI
- 1447954169
- Entity type
- Individual (NPI-1)
- Name
- Dr. Adam Mark Gordon
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 28, 2023
- Certification date
- Mar 28, 2023
- Last updated
- Mar 28, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
4802 10th AveBrooklyn, NY 11219-2916
Phone 718-283-6000
Mailing address
4802 10th AveBrooklyn, NY 11219-2916
Phone 718-283-6000
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