Gordon, Maryann
Gordon, Maryann is an sole proprietor health care provider with primary practice located at 144 Main St , Port Washington NY 11050-2846. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Gordon, Maryann can be contacted via phone (516) 650-3509.Contact Information
Primary practice address
144 Main St
Port Washington NY 11050-2846
Phone: (516) 650-3509
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | R046235 | New York |
Profile Details
| NPI number | 1801992250 |
|---|---|
| LBN Legal business name | Gordon, Maryann |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 15th, 2006 |
| Last updated | Oct 27th, 2016 - about 9 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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