Marc L Gordon is a Neurology in Great Neck, New York. Marc L Gordon practices all healthcare services and medical treatments related to Neurology. The NPI Number for Marc L Gordon is 1558459008. The last update date is 2015-09-11.
Marc L Gordon's current location address is 175 Community Dr, Great Neck, New York. You can contact this provider via phone number 5164651900 and fax number 5164651830. The mailing address for Marc L Gordon is 175 Community Dr, Great Neck, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Marc L Gordon |
|---|---|
| Address | 175 Community Dr, Great Neck, New York |
| Phone Number | 5164651900 |
| Fax Number | 5164651830 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1558459008 |
|---|---|
| Provider Enumeration Date | 2006-10-10 |
| Last Updated Date | 2015-09-11 |
Provider Mailing Address Detail
| Address | 175 Community Dr |
|---|---|
| City | Great Neck |
| State | New York (NY) |
| Post Code | 110215502 |
| Phone Number | 5164651900 |
| Fax Number | 5164651830 |
Provider's Primary Taxonomy Detail
| Speciality | Neurology |
|---|---|
| Taxonomy | 2084N0400X |
| Licence No | 167360 |
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Definition: A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1189591 | NY | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Marc L Gordon?
The Marc L Gordon has been issued the NPI (National Provider Identifier) 1558459008 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the Marc L Gordon's physical address?
The Marc L Gordon is physically located at 175 Community Dr, in the city of Great Neck, NY, with the postal code 110215502.
What is Marc L Gordon's area of expertise and its corresponding taxonomy classification?
The Marc L Gordon's field of specialization is Neurology, and it falls under the taxonomy code 2084N0400X, which categorizes healthcare providers based on their areas of practice.
On what date did Marc L Gordon receive its 1558459008 assignment from the Centers for Medicare & Medicaid Services?
The Marc L Gordon was assigned its 1558459008 on 2006-10-10, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Marc L Gordon most recently updated or refreshed?
The details pertaining to the Marc L Gordon, including its address, specialty, and other relevant information, were last updated or refreshed on 2015-09-11.
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