| Mark Forrest Gordon, Md, Pllc | |
|
3003 New Hyde Park Rd Ste 312 New Hyde Park NY 11042-1214 | |
| (516) 488-3200 | |
| (516) 488-3266 |
| Full Name | Mark Forrest Gordon, Md, Pllc |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 3003 New Hyde Park Rd, New Hyde Park, New York |
| Authorized Official Name and Position | Mark Forrest Gordon (OWNER) |
| Authorized Official Contact | 5164883200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mark Forrest Gordon, Md, Pllc 70 Fir Dr Roslyn NY 11576-2406 Ph: (516) 484-0882 | Mark Forrest Gordon, Md, Pllc 3003 New Hyde Park Rd Ste 312 New Hyde Park NY 11042-1214 Ph: (516) 488-3200 |
| NPI Number | 1114974342 |
|---|---|
| Provider Enumeration Date | 05/31/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114974342 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
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