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NPI Code Detail

MEDICARE: INNA GORDIN MEDICAL P.C.

MEDICARE: INNA GORDIN MEDICAL P.C.
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
1207RG0100XGastroenterology Physician199895NY

General Provider Information

NPI Number : 1962635458
Entity Type Code : Organization
Provider Name (Legal Business Name) : INNA GORDIN MEDICAL P.C.
Provider Business Mailing Address
First Line : 1664 E 14TH ST STE 302
Second Line :
City : BROOKLYN
State : NY
Zip : 11229-1167
Country : US
Telephone Number : 718-382-0500
Fax Number : 718-382-7025
Provider Business Practice Location Address
First Line : 1664 E 14TH ST STE 302
Second Line :
City : BROOKLYN
State : NY
Zip : 11229-1167
Country : US
Telephone Number : 718-382-0500
Fax Number : 718-382-7025
Authorized Official
Title or Position : PRESIDENT
Name : INNA GORDIN
Credential : M.D.
Telephone Number : 718-382-0500
Provider Enumeration Date : 08/31/2009
Last Update Date : 08/31/2009

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Directions to “INNA GORDIN MEDICAL P.C. ” Practice Location

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