Gordon, Jason
Gordon, Jason is an individual health care provider with primary practice located at 108 E 96Th St Apt 5A, New York NY 10128-6217. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Gordon, Jason can be contacted via phone (914) 419-1818.Contact Information
Primary practice address
108 E 96Th St Apt 5A
New York NY 10128-6217
Phone: (914) 419-1818
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 22DI02756800 | New Jersey |
Profile Details
| NPI number | 1033641493 |
|---|---|
| LBN Legal business name | Gordon, Jason |
| Credentials | DDS, MD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 3rd, 2017 |
| Last updated | Jul 12th, 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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