Mr. Brian Phillip Glen Gordon Sr.
Mr. Brian Phillip Glen Gordon Sr. is a Driver in Buffalo, New York. Licensed in New York. Registered with an NPI since 2010.
- Licensed in
- NY
- In the registry since
- 2010
Practice location Address checks out
29 Cambridge Ave 29 Cambridge AveBuffalo, NY 14215-4001
Phone: (716) 931-9899
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Driver (primary) | Taxonomy 172A00000X · Licence 607953011 (NY) |
|---|
Record details
| NPI number | 1740509165 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | May 25, 2010 |
| Last updated in NPPES | May 25, 2010 |
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