Gurdon, Jeanine

Gurdon, Jeanine is an sole proprietor health care provider with primary practice located at 15 Dick Ct , Northport NY 11768-1900. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Gurdon, Jeanine can be contacted via phone (631) 379-0271.

Contact Information

Primary practice address
15 Dick Ct Northport NY 11768-1900
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 018212 New York

Profile Details

NPI number 1922403245
LBN Legal business name Gurdon, Jeanine
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 29th, 2014
Last updated Oct 29th, 2014 - about 11 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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