Gordon, Michael
Gordon, Michael is an sole proprietor health care provider with primary practice located at 23 Knott Dr , Glen Cove NY 11542-4116. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Gordon, Michael can be contacted via phone (516) 759-1528.Contact Information
Primary practice address
23 Knott Dr
Glen Cove NY 11542-4116
Phone: (516) 759-1528
Fax: (516) 759-1528
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 135718 | New York |
Profile Details
| NPI number | 1902961410 |
|---|---|
| LBN Legal business name | Gordon, Michael |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 26th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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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