Gordon, Sharon

Gordon, Sharon is an sole proprietor health care provider with primary practice located at 20 N Main St , Pittsford NY 14534-1303. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Gordon, Sharon can be contacted via phone (585) 586-7980.

Contact Information

Primary practice address
20 N Main St Pittsford NY 14534-1303
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 0008923 New York

Profile Details

NPI number 1346218716
LBN Legal business name Gordon, Sharon
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 10th, 2006
Last updated Oct 7th, 2020 - about 6 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 1346218716 NPPES
New York MEDICAID 01725011
New York Other 100283FC
New York Other 4657115
New York Other PO10008923
New York Other PO20008923

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