Gordon, Ronald
Gordon, Ronald is an sole proprietor health care provider with primary practice located at 425 Old Courthouse Rd , New Hyde Park NY 11040-1115. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Gordon, Ronald can be contacted via phone (516) 365-7800.Contact Information
Primary practice address
425 Old Courthouse Rd
New Hyde Park NY 11040-1115
Phone: (516) 365-7800
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 137316 | New York |
Profile Details
| NPI number | 1306874151 |
|---|---|
| LBN Legal business name | Gordon, Ronald |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 29th, 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 | 1306874151 | NPPES |
| New York | MEDICAID | 00617749 |
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