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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306874151 NPPES
New York MEDICAID 00617749

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