Gordon C Davis Medical PC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

GORDON C DAVIS MEDICAL PC

Practice address

1611 E New York Ave
Brooklyn, NY 11212-6860

Phone

(718) 566-0022

NPI assigned

Dec 3, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Gordon C Davis, DO

Title

President

Phone

(718) 566-0022

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1196640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196640000000",
    "number": "1568644334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1611 E NEW YORK AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112126860",
            "telephone_number": "178-566-0022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1611 E NEW YORK AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112126860",
            "telephone_number": "718-566-0022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GORDON C DAVIS MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-03",
        "last_updated": "2007-12-03",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "GORDON",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-566-0022",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Albert Gordin, D.D.S.
• Inna Gordin, M.D.
• Zarina Taylor Gordin
• Yuliya Gorditsa, PA
• Olena Gordiyenko, RN
• Gordon Schectman Medical, LLC
• Mary Elizabeth Gordon-Coltherst, FNP
• Gaylan Gordon-Davila
• Lisa F Gordon-Handler, OTR
• Elaine Denise Gordon-James, LMSW, CASAC, CEAP

• Health Service Clinic/Center in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Health Service Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.