Gordon, David Jeffery

Gordon, David Jeffery is an sole proprietor health care provider with primary practice located at 224 Beach 20Th St , Far Rockaway NY 11691-3618. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Gordon, David Jeffery can be contacted via phone (718) 327-3968.

Contact Information

Primary practice address
224 Beach 20Th St Far Rockaway NY 11691-3618
Phone: (718) 327-3968
Fax: (718) 228-4815
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X N006085 New York

Profile Details

NPI number 1588626964
LBN Legal business name Gordon, David Jeffery
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 3rd, 2006
Last updated Jan 28th, 2021 - about 3 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 1588626964 NPPES
New York MEDICAID 02778045

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