Marc L Gordon, MD | |
611 Northern Blvd, Suite 150, Great Neck, NY 11021-5207 | |
(516) 325-7000 | |
(516) 325-7001 |
Full Name | Marc L Gordon |
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Gender | Male |
Speciality | Psychiatry & Neurology - Neurology |
Location | 611 Northern Blvd, Great Neck, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1558459008 | NPI | - | NPPES |
01189591 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | 167360 (New York) | Primary |
Entity Name | North Shore - Lij Medical Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053688572 PECOS PAC ID: 3375701568 Enrollment ID: O20120220000262 |
Mailing Address | Practice Location Address |
---|---|
Marc L Gordon, MD 175 Community Dr, Great Neck, NY 11021-5502 Ph: (516) 465-1900 | Marc L Gordon, MD 611 Northern Blvd, Suite 150, Great Neck, NY 11021-5207 Ph: (516) 325-7000 |
Seymour H. Block, D.O. Psychiatry & Neurology Medicare: May Accept Medicare Assignments Practice Location: 310 E Shore Rd, Suite #201, Great Neck, NY 11023 Phone: 516-829-8067 Fax: 516-829-8078 | |
Joseph Scott Weiner, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1010 Northern Blvd, Suite 208, Great Neck, NY 11021 Phone: 516-336-2585 Fax: 516-336-2584 | |
Dr. Sheldon Golub, Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 11 Nassau Dr, Great Neck, NY 11021 Phone: 516-829-9406 Fax: 516-466-4145 | |
Dr. Laurence D. Haber, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 600 Northern Blvd, Suite 118, Great Neck, NY 11021 Phone: 516-498-1122 Fax: 516-466-6714 | |
Dr. Nina Moadel, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 45 N Station Plz Ste 205, Great Neck, NY 11021 Phone: 516-628-7765 | |
Dr. Warren Harvey Goodman, MD Psychiatry & Neurology Medicare: May Accept Medicare Assignments Practice Location: 1 Barstow Road, Suite P 14, Great Neck, NY 11021 Phone: 516-487-1484 Fax: 516-487-7804 | |
David Kaminsky, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 29 Barstow Rd, Great Neck, NY 11021 Phone: 516-487-4171 Fax: 516-487-4171 |