Gorman, Shepard Benjamin
Gorman, Shepard Benjamin is an sole proprietor health care provider with primary practice located at 1444 Cleveland Ave , East Meadow NY 11554-4407. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Gorman, Shepard Benjamin can be contacted via phone (516) 481-1323.Contact Information
Primary practice address
1444 Cleveland Ave
East Meadow NY 11554-4407
Phone: (516) 481-1323
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 5329 | New York |
Profile Details
| NPI number | 1639244791 |
|---|---|
| LBN Legal business name | Gorman, Shepard Benjamin |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 22nd, 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 | 1639244791 | NPPES |
| New York | MEDICAID | V13051 |
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