Active NPIIndividual providerSole proprietor

Dr. Michelle E Gordon, DO

Specialist in Putnam Valley, New York

NPI Number1295770907
Practice location
11 Peekskill Hollow RD # 97, Putnam Valley, NY 10579-3200
Fax
800-595-3409
Last updated
July 27, 2026

Michelle Elaine Gordon is a Specialist based in Putnam Valley, NY. Michelle Elaine Gordon practices in Putnam Valley, NY and has the professional credentials of DO. The NPI Number for Michelle Elaine Gordon is 1295770907 and holds a License No. 236050-1 (NY). The current practice location address for Michelle Elaine Gordon is 11 Peekskill Hollow RD # 97, Putnam Valley, NY 10579-3200 and can be reached out via phone at 914-246-0345 and via fax at 800-595-3409.

Provider Profile Details

NPI Number
1295770907
Provider Name
Michelle Elaine Gordon
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
11 Peekskill Hollow RD # 97, Putnam Valley, NY 10579-3200
Phone Number
914-246-0345
Fax Number
800-595-3409
Primary Taxonomy
Specialist · 174400000X
Sole Proprietor
Yes
Provider Enumeration Date
June 17, 2006
Last Update Date
July 27, 2026
Certification Date
July 27, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
11 Peekskill Hollow RD # 97
Putnam Valley, NY 10579-3200
Zip
10579-3200
Phone Number
914-246-0345
Fax Number
800-595-3409
Putnam Valley, NY 10579Get directions →

Provider Business Mailing Address Details

Address
11 Peekskill Hollow RD # 97
Putnam Valley, NY 10579-3200
City
Putnam Valley
State
NY
Zip
10579-3200
Phone Number
914-246-0345
Fax Number
800-595-3409

License Information

License Number
236050-1
License State
NY
Taxonomy
Specialist · 174400000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Michelle E Gordon, DO?

The NPI number of Dr. Michelle E Gordon, DO is 1295770907. It was assigned on June 17, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Michelle E Gordon, DO?

Dr. Michelle E Gordon, DO is registered under the primary taxonomy Specialist (code 174400000X), licensed in NY under license number 236050-1.

Where does Dr. Michelle E Gordon, DO practice?

The practice location is 11 Peekskill Hollow RD # 97, Putnam Valley, NY 10579-3200. The office can be reached at 914-246-0345 (phone) or 800-595-3409 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1295770907 directly on the NPPES registry website.

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