Gordon, Kristin Shallcross

Gordon, Kristin Shallcross is an individual health care provider with primary practice located at 600 Community Dr Ste 302 , Manhasset NY 11030-3818. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Gordon, Kristin Shallcross can be contacted via phone (516) 823-8808.

Contact Information

Primary practice address
600 Community Dr Ste 302 Manhasset NY 11030-3818
Phone: (516) 823-8808
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 2782841 New York

Profile Details

NPI number 1215242326
LBN Legal business name Gordon, Kristin Shallcross
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 12th, 2010
Last updated Dec 19th, 2018 - about 8 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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