Gordon, Kerry
Gordon, Kerry is an individual health care provider with primary practice located at 120 Allens Creek Rd , Rochester NY 14618-3306. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Gordon, Kerry can be contacted via phone (585) 271-1661.Contact Information
Primary practice address
120 Allens Creek Rd
Rochester NY 14618-3306
Phone: (585) 271-1661
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 7764 | New York |
Profile Details
| NPI number | 1073582300 |
|---|---|
| LBN Legal business name | Gordon, Kerry |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 17th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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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