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1114382025
CHARLES GORDON
ALBANY, NY
NPI
1114382025
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 019257)
Enumeration Date
2015-12-18
Last Update Date
2021-05-20
Business Address
Mr. CHARLES GORDON PA-C
315 S MANNING BLVD
ALBANY, NY 12208-1707
Phone number: 518-252-1550
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Mailing Address
Mr. CHARLES GORDON PA-C
PO BOX 14890
ALBANY, NY 12212-4890
Phone number: 518-525-5634
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