Gordon, Tamara

Gordon, Tamara is an sole proprietor health care provider with primary practice located at 81 Louden Ave , Amityville NY 11701-2736. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Gordon, Tamara can be contacted via phone (631) 789-7805.

Contact Information

Primary practice address
81 Louden Ave Amityville NY 11701-2736
Phone: (631) 789-7805
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 403325 New York

Profile Details

NPI number 1083219471
LBN Legal business name Gordon, Tamara
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 2nd, 2020
Last updated Jun 9th, 2021 - about 3 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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