Shepard Benjamin Gorman in East Meadow - Clinical
Shepard Benjamin Gorman - NPI 1639244791
Shepard Benjamin Gorman is a Clinical in East Meadow, New York. Shepard Benjamin Gorman practices all healthcare services and medical treatments related to Clinical. The NPI Number for Shepard Benjamin Gorman is 1639244791. The last update date is 2007-07-08.
Shepard Benjamin Gorman's current location address is 1444 Cleveland Ave, East Meadow, New York. You can contact this provider via phone number 5164811323. The mailing address for Shepard Benjamin Gorman is 1444 Cleveland Ave, East Meadow, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shepard Benjamin Gorman |
|---|---|
| Address | 1444 Cleveland Ave, East Meadow, New York |
| Phone Number | 5164811323 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1639244791 |
|---|---|
| Provider Enumeration Date | 2006-11-22 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1444 Cleveland Ave |
|---|---|
| City | East Meadow |
| State | New York (NY) |
| Post Code | 115544407 |
| Phone Number | 5164811323 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 5329 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| V13051 | NY | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Shepard Benjamin Gorman by the Centers for Medicare & Medicaid Services?
The Shepard Benjamin Gorman has been assigned the NPI (National Provider Identifier) 1639244791. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Shepard Benjamin Gorman's facilities are situated?
The facilities of Shepard Benjamin Gorman are physically located at the following address: 1444 Cleveland Ave, East Meadow, NY, 115544407.
What is the Shepard Benjamin Gorman's specialty and taxonomy code?
The Shepard Benjamin Gorman's specialty is Clinical, and the corresponding taxonomy code is 103Tc0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1639244791 to Shepard Benjamin Gorman?
The Centers for Medicare & Medicaid Services originally issued the 1639244791 to Shepard Benjamin Gorman on 2006-11-22.
When was the information pertaining to Shepard Benjamin Gorman most recently updated or revised?
The details related to Shepard Benjamin Gorman, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.
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