Gordon, Mara Joan

Gordon, Mara Joan is an sole proprietor health care provider with primary practice located at 221 Nichols St , Carmel NY 10512-5022. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Gordon, Mara Joan can be contacted via phone (917) 514-9831.

Contact Information

Primary practice address
221 Nichols St Carmel NY 10512-5022
Phone: (917) 514-9831
Fax: (845) 225-4034
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 2251P0200X 012715 New York

Profile Details

NPI number 1275787186
LBN Legal business name Gordon, Mara Joan
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 5th, 2008
Last updated Nov 5th, 2008 - 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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