Provider Demographics
NPI:1619126596
Name:GORDIAN, MARIA ANN (MD)
Entity Type:Individual
Prefix:DR
First Name:MARIA
Middle Name:ANN
Last Name:GORDIAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:10 PARK AVE
Mailing Address - Street 2:28A
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016
Mailing Address - Country:US
Mailing Address - Phone:212-446-8619
Mailing Address - Fax:212-446-8621
Practice Address - Street 1:10 PARK AVE
Practice Address - Street 2:28A
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016
Practice Address - Country:US
Practice Address - Phone:212-446-8619
Practice Address - Fax:212-446-8621
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-16
Last Update Date:2008-09-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY2050672085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology