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NPI Code Detail

MEDICARE: DR. BARBARA FAITH GORDON

MEDICARE:  DR. BARBARA FAITH GORDON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1174400000XSpecialist203809NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1639132202
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BARBARA FAITH GORDON
Provider Business Mailing Address
First Line : 1854 BEDFORD AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11225-5006
Country : US
Telephone Number : 718-462-0018
Fax Number : 718-462-0061
Provider Business Practice Location Address
First Line : 1854 BEDFORD AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11225-5006
Country : US
Telephone Number : 718-462-0018
Fax Number : 718-462-0061
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/06/2006
Last Update Date : 04/14/2011

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Directions to “ DR. BARBARA FAITH GORDON ” Practice Location

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