Gordon, Mark Forrest
Gordon, Mark Forrest is an individual health care provider with primary practice located at 865 Northern Blvd , Great Neck NY 11021-5310. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Gordon, Mark Forrest can be contacted via phone (516) 570-4477.Contact Information
Primary practice address
865 Northern Blvd
Great Neck NY 11021-5310
Phone: (516) 570-4477
Fax: (516) 465-1890
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 167467 | New York |
Profile Details
NPI number | 1124098959 |
---|---|
LBN Legal business name | Gordon, Mark Forrest |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 24th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1124098959 | NPPES |
New York | MEDICAID | 01155568 |
Popular Providers
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Eidelberg, David
Department Of Neurology-Movement Disorders Center 865 Northern Boulevard, Great Neck NY 11021 -
Lado, Fred A
611 Northern Blvd Ste 150 , Great Neck NY 11021-5207 -
Rosen, Noah L.
611 Northern Blvd Suite 150, Great Neck NY 11021-5207 -
Niethammer, Martin H
611 Northern Blvd Suite 150, Great Neck NY 11021-5207 -
Kula, Roger W
865 Northern Blvd Suite 302, Great Neck NY 11021-5310 -
Geraci, Anthony Paul
611 Northern Blvd Ste 150 , Great Neck NY 11021-5207 -
Chu, Peiyun
170 Great Neck Rd , Great Neck NY 11021-3337 -
Haber, Laurence D.
600 Northern Blvd Suite 118, Great Neck NY 11021-5200