Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. CHARLES GORDON JR., PA-C
ActiveMR. CHARLES GORDON JR., PA-C is a Physician Assistant healthcare provider located in ALBANY, New York. NPI 1114382025 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · ALBANY, NY
Registration Details
- NPI Number
- 1114382025
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 18, 2015 (10.678391990008 yrs)
- Last Updated
- May 20, 2021
- License
-
019257 (NY)
Practice Information
- Address
-
315 S MANNING BLVDALBANY, NY, 122081707Browse NY providers · Browse ZIP 12208
- Phone
- 5182521550
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in ALBANY, NY
| Name | Credential | NPI |
|---|---|---|
| SHIMON TOBOLSKY | MPAS, RPA-C | 1477555779 |
| KIM SHELDON | RPA-C | 1326042607 |
| MR. PAUL D. CLARKE | PA-C | 1649279555 |
| ELLEN M. MCGRANN | PA | 1780686691 |
| JAMES F MOTTA | RPA-C | 1801898580 |
| MS. MARTHA ANNE MAINELLO | RPA-C | 1174515142 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.