Gordon, Michael A.

Gordon, Michael A. is an individual health care provider with primary practice located at 990 Stewart Ave Suite 610, Garden City NY 11530-4838. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Gordon, Michael A. can be contacted via phone (516) 222-1881.

Contact Information

Primary practice address
990 Stewart Ave Suite 610 Garden City NY 11530-4838
Phone: (516) 222-1881
Fax: (516) 222-1885
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 171522 New York

Profile Details

NPI number 1356306807
LBN Legal business name Gordon, Michael A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 19th, 2006
Last updated Apr 2nd, 2019 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1356306807 NPPES
New York MEDICAID 01432640

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