Gordon, Diane Lynn

Gordon, Diane Lynn is an sole proprietor health care provider with primary practice located at 1173 Bellmore Rd , North Bellmore NY 11710-3757. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Gordon, Diane Lynn can be contacted via phone (516) 241-4801.

Contact Information

Primary practice address
1173 Bellmore Rd North Bellmore NY 11710-3757
Fax: (631) 853-7389
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X R028275-1 New York

Profile Details

NPI number 1316278385
LBN Legal business name Gordon, Diane Lynn
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 14th, 2010
Last updated Jan 14th, 2010 - about 15 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1316278385 NPPES
New York Other 285580P HIP/EMBLEM HEALTH

Popular Providers