DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. BRIAN PHILLIP GLEN GORDON SR.

Active

MR. BRIAN PHILLIP GLEN GORDON SR. is a Driver healthcare provider located in BUFFALO, New York. NPI 1740509165 is currently active in the NPPES registry. Verify at CMS.

Driver · BUFFALO, NY

Registration Details

NPI Number
1740509165
Provider Type
Individual
Gender
Male
NPI Issued
May 25, 2010 (16.034532403795 yrs)
Last Updated
May 25, 2010
License
607953011 (NY)

Practice Information

Address
29 CAMBRIDGE AVE
29 CAMBRIDGE AVE.
BUFFALO, NY, 142154001
Browse NY providers · Browse ZIP 14215
Phone
7169319899
Primary Specialty
Driver
172A00000X

Other Driver Providers in BUFFALO, NY

Name Credential NPI
AIME MINEGA SHABANI 1316349293
WODAJE YIMAM-KNFU SR. 1215392048
HUSSEIN A WARIS 1104335066
BRUCE DUANE DOVE SR. 1215423058
AARON ROBINSON 1225519887
JESUS SANTANA 1982178521
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.