Gordon, Richard E
Gordon, Richard E is an individual health care provider with primary practice located at 4271 Hempstead Tpke Suite 1, Bethpage NY 11714. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Gordon, Richard E can be contacted via phone (516) 796-3700.Contact Information
Primary practice address
4271 Hempstead Tpke Suite 1
Bethpage NY 11714
Phone: (516) 796-3700
Fax: (516) 796-3205
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 147478 | New York |
Profile Details
| NPI number | 1730106352 |
|---|---|
| LBN Legal business name | Gordon, Richard E |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 17th, 2006 |
| Last updated | Feb 25th, 2021 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1730106352 | NPPES |
| New York | MEDICAID | 00895616 |
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