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
Phone: (516) 241-4801
Fax: (631) 853-7389
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1316278385 | NPPES |
New York | Other | 285580P | HIP/EMBLEM HEALTH |
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