Gordon, Lara
Gordon, Lara is an individual health care provider with primary practice located at 215 E 79Th St , New York NY 10021-0847. She recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as her primary health care specialty. Gordon, Lara can be contacted via phone (212) 737-7800.Contact Information
Primary practice address
215 E 79Th St
New York NY 10021-0847
Phone: (212) 737-7800
Fax: (212) 737-0251
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Adolescent Medicine | 2080A0000X | 219564-1 | New York |
Profile Details
| NPI number | 1417015116 |
|---|---|
| LBN Legal business name | Gordon, Lara |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 5th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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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