Gordon, Gregg

Gordon, Gregg is an individual health care provider with primary practice located at 20620 Linden Blvd , Cambria Hts NY 11411-1524. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Gordon, Gregg can be contacted via phone (718) 479-6600.

Contact Information

Primary practice address
20620 Linden Blvd Cambria Hts NY 11411-1524
Phone: (718) 479-6600
Fax: (718) 264-7080
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 181037 New York

Profile Details

NPI number 1083657126
LBN Legal business name Gordon, Gregg
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2006
Last updated Mar 3rd, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083657126 NPPES
New York MEDICAID 01190761

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