Gordon, Andre Leslie

Gordon, Andre Leslie is an sole proprietor health care provider with primary practice located at 1516 Bergen St Apt 3 , Brooklyn NY 11213-1783. He recently has only one registered license in Agencies / Early Intervention Provider Agency, which is considered as his primary health care specialty. Gordon, Andre Leslie can be contacted via phone (347) 915-1112.

Contact Information

Primary practice address
1516 Bergen St Apt 3 Brooklyn NY 11213-1783
Phone: (347) 915-1112
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Agencies / Early Intervention Provider Agency 252Y00000X

Profile Details

NPI number 1144989690
LBN Legal business name Gordon, Andre Leslie
Credentials MSE
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 13th, 2021
Last updated Dec 13th, 2021 - about 4 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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