Gordon, Lance Stewart

Gordon, Lance Stewart is an individual health care provider with primary practice located at 1 Healthy Way , Oceanside NY 11572-1551. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Anesthesiology, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Gordon, Lance Stewart can be contacted via phone (516) 632-4191.

Contact Information

Primary practice address
1 Healthy Way Oceanside NY 11572-1551
Phone: (516) 632-4191
Fax: (516) 632-4195
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Anesthesiology 207LP3000X OS9740 Florida
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X OS9740 Florida
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 258288 New York

Profile Details

NPI number 1386806248
LBN Legal business name Gordon, Lance Stewart
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 1st, 2008
Last updated Jun 6th, 2012 - about 14 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 1386806248 NPPES
Florida MEDICAID 0002109-00
Florida MEDICAID 317169747A
Florida Other A400055931

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