Overview
Name: DR. CHARLES RICHARD GORDON M.D.
Specialty: Adolescent Medicine (Family Medicine) Physician
Type of Practice: Individual provider
Provider/Org:
Medical School:
Graduation year from medical school:
Affiliation:
Specialties
Practice Type: Allopathic & Osteopathic Physicians
Classification: Family Medicine
Specialization: Adolescent Medicine.
Definition of Specialty: A family medicine physician with multidisciplinary training in the unique physical, psychological and social characteristics of adolescents and their health care problems and needs.
License & NPI
License #(s): 140363, 140363, , ,
License State(s): NY, NY, , ,
Addresses
Practice Location: 200 CABRINI BLVD,SUITE 17,NEW YORK,NY,100331100,US
Mailing Address: 200 CABRINI BLVD,SUITE 17,NEW YORK,NY,100331100,US
Contact #
Practice location phone #: 2129280555
Practice location fax #: 2127402934
Mailing address Phone #: 2129280555
Mailing Address fax #: 2127402934
Authorized official Name/Telephone #:
Misc
Date NPI was obtained: 08/10/2005
Last data data was updated: 07/08/2007
Insurances: