| Doctor Name: | DR. KAREN GORDON |
| NPI Number: | 1063713022 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PSY.D. |
| License Number: | 018807 |
| Business Practice Address: | 21528 Hillside Ave Queens Village, NY - 114271831 |
| Business Phone Number: | 7184250907 |
| Business Fax Number: | 7182288601 |
| Mailing Address: | 21528 Hillside Ave, QUEENS VILLAGE |
| State: | NY |
| Postal Code: | 114271831 |
| Phone Number: | 7184250907 |
| Fax Number: | 7182288601 |
| NPI Enumeration Date: | 11/08/2010 |
| NPI Last Update Date: | 11/08/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC2200X |
| License Number: | 018807 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical Child & Adolescent |
| Taxonomy Definition: | |