David Gordon Dpm Pc

LBN: David Gordon Dpm Pc
David Gordon Dpm Pc is an health care organization with primary practice located at 224 Beach 20Th St , Far Rockaway NY 11691-3618. The organization recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as the primary health care specialty. David Gordon Dpm Pc can be contacted via phone (718) 327-3968, or through Gordon, David via phone (718) 327-3968.

Contact Information

Primary practice address
224 Beach 20Th St Far Rockaway NY 11691-3618
Phone: (718) 327-3968
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Gordon, David Doctor of Podiatric Medicine (DPM)
Phone: (718) 327-3968

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X N006085 New York

Profile Details

NPI number 1386901155
LBN Legal business name David Gordon Dpm Pc
DBA Doing business as
Authorized official Gordon, David Doctor of Podiatric Medicine (DPM)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 18th, 2012
Last updated Jan 28th, 2021 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386901155 NPPES
New York MEDICAID 02778045

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