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Mr. Brian Phillip Glen Gordon SR.
Driver in Buffalo, New York
NPI 1740509165

Brian Phillip Glen Gordon SR. is a Driver based in Buffalo, NY. Brian Phillip Glen Gordon SR. practices in Buffalo, NY. The NPI Number for Brian Phillip Glen Gordon SR. is 1740509165 and holds a License No. 607953011 (New York).

The current practice location address for Brian Phillip Glen Gordon SR. is 29 Cambridge Ave, Buffalo, NY and can be reached out via phone at 716-931-9899.

Location: 29 Cambridge Ave, Buffalo, NY, 14215-4001
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1740509165
Provider Name
Brian Phillip Glen Gordon SR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
29 Cambridge Ave, Buffalo, NY, 14215-4001
Phone Number
716-931-9899
Fax Number
Provider Enumeration Date
05/25/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
29 Cambridge Ave
City
Buffalo
State
New York
Zip
14215-4001
Phone Number
716-931-9899
Fax Number
person
Provider Business Mailing Address Details
Address
29 Cambridge Ave
City
Buffalo
State
New York
Zip
14215-4001
Phone Number
716-931-9899
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Driver
Speciality
-
Taxonomy
172A00000X
License No.
607953011 (New York)
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
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