Gordon, Romaine

Gordon, Romaine is an individual health care provider with primary practice located at 4271 Hempstead Tpke , Bethpage NY 11714-5708. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Gordon, Romaine can be contacted via phone (516) 520-6600.

Contact Information

Primary practice address
4271 Hempstead Tpke Bethpage NY 11714-5708
Phone: (516) 520-6600
Fax: (516) 520-6750
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 17613 New York

Profile Details

NPI number 1053659292
LBN Legal business name Gordon, Romaine
Credentials CASAC
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2013
Last updated Jan 23rd, 2013 - about 11 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 1053659292 NPPES
New York Other 17613 CERTAFIDE ALCOHOL AND SUBSTANCE COUNSELOR

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