Search › New York › 164W00000X
Avion Gordon
NPI 1639403108 · on the registry since 2009
Practice
- Address
- 127 Maple Ln
Medford, NY 11763 - Phone
- (631) 605-1986
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 164W00000X
164W00000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2009-09-30
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York