All Medicaid billing entities listing DAVIS, GORDON (AUTHORIZED REPRESENTATIVE/OWNER) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| New York | 1 | $36K |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | BOULEVARD MULTISPECIALTY MEDICAL PC | OZONE PARK, NY | Multi-Specialty Clinic/Center | $36K |