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Contact Information

LANCE S GORDON, DO
1 HEALTHY WAY
OCEANSIDE, NY11572-1551
 Phone: 516-632-4191
 Fax: 516-632-4195
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
 

Pediatric Anesthesiology

207LP3000X 05 Physician/Anesthesiology
Indicates primary specialty

NPI Profile & details for LANCE S GORDON · (Male)

NPI # 1386806248
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 07/01/2008
Last updated 06/06/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • FL License # OS9740
  • NY License # 258288
  • FL Medicaid 0002109-00
  • GA Medicaid 317169747A
  • NY Other A400055931 MEDICARE
Hospital affiliation(s)
  • MERCY MEDICAL CENTER - (Acute Care)
    1000 NORTH VILLAGE AVENUE
    ROCKVILLE CENTRE, NY 11570
  • SOUTH NASSAU COMMUNITIES HOSPITAL - (Acute Care)
    ONE HEALTHY WAY
    OCEANSIDE, NY 11572
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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