Anderson, Gordon

Anderson, Gordon is an individual health care provider with primary practice located at 374 Stockholm St Department Neurosurgery, Brooklyn NY 11237-4006. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Anderson, Gordon can be contacted via phone (718) 963-7266.

Contact Information

Primary practice address
374 Stockholm St Department Neurosurgery Brooklyn NY 11237-4006
Phone: (718) 963-7266
Fax: (718) 963-6491
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 233218 New York

Profile Details

NPI number 1245214519
LBN Legal business name Anderson, Gordon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 1st, 2005
Last updated Jul 1st, 2013 - about 12 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 1245214519 NPPES
New York MEDICAID 02600035

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