National Provider Identifier
Eric S Gordon, MA, CCC-SLP, NYS-L
Eric S Gordon, MA, CCC-SLP, NYS-L is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Rochester, NY and a listed phone number of (585) 271-0680.
Profile Overview
- NPI
- 1972567832
- Provider Type
- Individual
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- April 17, 2006
- Last Updated
- July 08, 2007
Practice Location
- 1000 Elmwood Ave
- Rochester, NY 14620-3042
Phone: (585) 271-0680
Mailing Address
- 358 Linden St
- Rochester, NY 14620-2327
Specialties
- Speech-Language Pathologist (235Z00000X)
Full Record
- NPI
- 1972567832
- Entity Type
- Individual
- Last Name
- Gordon
- First Name
- Eric
- Middle Name
- S
- Credential
- MA, CCC-SLP, NYS-L
- Mailing Street Address
- 358 Linden St
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14620-2327
- Mailing Country
- US
- Mailing Phone
- (585) 242-2072
- Practice Street Address
- 1000 Elmwood Ave
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14620-3042
- Practice Country
- US
- Practice Phone
- (585) 271-0680
- Enumeration Date
- April 17, 2006
- Last Updated
- July 08, 2007
- Sex
- Male
- Sole Proprietor
- X
- Taxonomies
- Speech-Language Pathologist (235Z00000X)