Gordon, Elizabeth
Gordon, Elizabeth is an individual health care provider with primary practice located at 37 W 26Th St 6Th Floor, New York NY 10010-1006. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Child & Adolescent, which is considered as her primary health care specialty. Gordon, Elizabeth can be contacted via phone (212) 696-1550.Contact Information
Primary practice address
37 W 26Th St 6Th Floor
New York NY 10010-1006
Phone: (212) 696-1550
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X |
Profile Details
| NPI number | 1265981377 |
|---|---|
| LBN Legal business name | Gordon, Elizabeth |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 30th, 2016 |
| Last updated | Sep 30th, 2016 - about 9 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 | 1265981377 | NPPES |
| New York | MEDICAID | 02850677 |
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