Gordon, Jonathan C

Gordon, Jonathan C is an individual health care provider with primary practice located at 55 E 34Th St , New York NY 10016-4337. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Gordon, Jonathan C can be contacted via phone (212) 252-6182.

Contact Information

Primary practice address
55 E 34Th St New York NY 10016-4337
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 217385 New York

Profile Details

NPI number 1720051006
LBN Legal business name Gordon, Jonathan C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 8th, 2006
Last updated Sep 25th, 2012 - about 12 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 1720051006 NPPES
New York MEDICAID 02217132

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