Gordon, Stephen
Gordon, Stephen is an individual health care provider with primary practice located at 3959 Broadway Columbia University Department Pediatrics, New York NY 10032-1559. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine, which is considered as his primary health care specialty. Gordon, Stephen can be contacted via phone (212) 304-7250.Contact Information
Primary practice address
3959 Broadway Columbia University Department Pediatrics
New York NY 10032-1559
Phone: (212) 304-7250
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine | 2080P0204X | 195143 | New York |
Profile Details
| NPI number | 1821057704 |
|---|---|
| LBN Legal business name | Gordon, Stephen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 21st, 2006 |
| Last updated | Jun 5th, 2023 - about last year |
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 | 1821057704 | NPPES |
| New York | MEDICAID | 01487503 |
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