Gordon, Lana
Gordon, Lana is an sole proprietor health care provider with primary practice located at 543A Hempstead Tpke , West Hempstead NY 11552-1143. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Gordon, Lana can be contacted via phone (516) 564-9444.Contact Information
Primary practice address
543A Hempstead Tpke
West Hempstead NY 11552-1143
Phone: (516) 564-9444
Fax: (516) 564-8448
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 049709 | New York |
Profile Details
| NPI number | 1033243548 |
|---|---|
| LBN Legal business name | Gordon, Lana |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 15th, 2007 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1033243548 | NPPES |
| New York | MEDICAID | 02320309 |
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