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Contact Information

KAREN GORDON, PSY.D.
21528 HILLSIDE AVE
QUEENS VILLAGE, NY11427-1831
 Phone: 718-425-0907
 Fax: 718-228-8601
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical Child & Adolescent

103TC2200X 62 Psychologist, Clinical
 

Adult Development & Aging

103TA0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for KAREN GORDON · (Female)

NPI Number 1063713022
Status Active
Credentials PSY.D. (Doctor of Psychology)
Entity Individual
Enumeration date 11/08/2010
Last updated 08/23/2021 - About 5 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 018807
Hospital affiliation(s) Not Available
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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