Gordon, Phyllis Lynn
Gordon, Phyllis Lynn is an sole proprietor health care provider with primary practice located at 10 Byrne Ln , Tenafly NJ 07670-2707. She recently has 4 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Mental Health, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Neurorehabilitation, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Rehabilitation, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Rehabilitation is her primary health care specialty. Gordon, Phyllis Lynn can be contacted via phone (201) 569-6288.Contact Information
Primary practice address
10 Byrne Ln
Tenafly NJ 07670-2707
Phone: (201) 569-6288
Fax: (201) 227-9267
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Mental Health | 225XM0800X | TR00810 | New Jersey |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Neurorehabilitation | 225XN1300X | TR00810 | New Jersey |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Rehabilitation | 225XP0019X | TR00810 | New Jersey |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics | 225XP0200X | TR00810 | New Jersey |
Profile Details
| NPI number | 1285876128 |
|---|---|
| LBN Legal business name | Gordon, Phyllis Lynn |
| Credentials | M.S.O.T.R. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 24th, 2009 |
| Last updated | Aug 19th, 2010 - about 14 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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