Dr. Lara Gordon
M.D. | Pediatric Adolescent Medicine | Female
Dr. Lara Gordon, M.D. is a New York, New York based Pediatric doctor with medical specialization in
Pediatric Adolescent Medicine.
Current practice location of Dr. Lara Gordon is
215 E 79th St, New York, New York - 10021-0847. She can be contacted on phone at
212-737-7800 and fax number 212-737-0251.
Dr. Lara Gordon is a sole proprietor of her business.
NPI number (Unique professional ID) for Dr. Lara Gordon is
1417015116 which was assigned by NPPES on 05 Dec, 2006 and it was last updated on 08 Jul, 2007.
Dr. Lara Gordon license number is
219564-1 for Pediatrics Adolescent Medicine (2080A0000X) in New York.
Dr. Lara Gordon specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Complete Profile:
Dr. Lara Gordon basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Adolescent Medicine |
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| Provider Name : | Dr. Lara Gordon |
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| Credential : | M.D. |
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| Gender : | Female |
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Business Address:
Dr. Lara Gordon address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 215 E 79th St
New York, NY, 10021-0847
United States |
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| Phone Number : | 212-737-7800 |
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| Fax Number : | 212-737-0251 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1417015116 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 05 Dec, 2006 |
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| Last Updated On : | 08 Jul, 2007 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Lara Gordon are as mentioned. Primary taxonomy code for Dr. Lara Gordon, M.D. is
2080A0000X (Pediatrics Adolescent Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 2080A0000X | Pediatrics Adolescent Medicine | Yes | 219564-1 | NY |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 215 E 79th St
New York, NY, 10021-0847
United States |
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| Phone Number : | 212-737-7800 |
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| Fax Number : | 212-737-0251 |
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Business Location:
Patients can refer following map for directions to
Dr. Lara Gordon practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.