Lance Stewart Gordon in Melville - Pediatric Anesthesiology

Lance Stewart Gordon - NPI 1386806248

Lance Stewart Gordon is a Pediatric Anesthesiology in Melville, New York. Lance Stewart Gordon practices all healthcare services and medical treatments related to Pediatric Anesthesiology. The NPI Number for Lance Stewart Gordon is 1386806248. The last update date is 2012-06-06.

Lance Stewart Gordon's current location address is 68 S Service Rd, Melville, New York. You can contact this provider via phone number 5169453107 and fax number 5169453131. The mailing address for Lance Stewart Gordon is 68 S Service Rd, Melville, New York. To know further, please read the information below!

Provider Profile Detail

Provider Name Lance Stewart Gordon
Address 68 S Service Rd, Melville, New York
Phone Number 5169453107
Fax Number 5169453131
Sole Proprietor N
Credentials DO

NPI Number Detail

NPI Number 1386806248
Provider Enumeration Date 2008-07-01
Last Updated Date 2012-06-06

Provider Mailing Address Detail

Address 68 S Service Rd
City Melville
State New York (NY)
Post Code 117472354
Phone Number 5169453107
Fax Number 5169453131

Provider's Primary Taxonomy Detail

Speciality Pediatric Anesthesiology
Taxonomy 207Lp3000X
Licence No OS9740
Definition:
An anesthesiologist who has had additional skill and experience in and is primarily concerned with the anesthesia, sedation, and pain management needs of infants and children. A pediatric anesthesiologist generally provides services including the eva

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
0002109-00 FL --
317169747A GA --
A400055931 NY MEDICARE

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FAQs about Lance Stewart Gordon

What is the unique 10-digit identification code issued to Lance Stewart Gordon by the Centers for Medicare & Medicaid Services?

The Lance Stewart Gordon has been assigned the NPI (National Provider Identifier) 1386806248 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you share the physical location details of Lance Stewart Gordon?

The Lance Stewart Gordon is situated at 68 S Service Rd, in the city of Melville, state of NY, with the zip code 117472354.

What is the area of specialization for Lance Stewart Gordon, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Lance Stewart Gordon is Pediatric Anesthesiology, and the corresponding taxonomy code that categorizes this area of expertise is 207Lp3000X.

On what date was the 1386806248 assigned to Lance Stewart Gordon?

The Lance Stewart Gordon was issued its 1386806248 on 2008-07-01, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the Lance Stewart Gordon's details last updated?

The information pertaining to the Lance Stewart Gordon, including its address, specialty, and other details, was most recently updated on 2012-06-06.

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