Gordon, David E
Gordon, David E is an sole proprietor health care provider with primary practice located at 4476 Main Street, Suite 208 , Amherst NY 14226. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Gordon, David E can be contacted via phone (716) 970-2182.Contact Information
Primary practice address
4476 Main Street, Suite 208
Amherst NY 14226
Phone: (716) 970-2182
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 052675 | New York |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | R052675-1 | New York |
Profile Details
| NPI number | 1821133554 |
|---|---|
| LBN Legal business name | Gordon, David E |
| Credentials | LCSW-R |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 20th, 2007 |
| Last updated | Dec 27th, 2018 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1821133554 | NPPES |
| New York | Other | 000525347001 | BLUE CROSS OF WNY |
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