Organization
MARK FORREST GORDON, MD, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK FORREST GORDON (OWNER)
(516) 488-3200
Entity
Organization
Contact information
Practice address
3003 NEW HYDE PARK RD, STE 312, NEW HYDE PARK, NY 11042-1214
(516) 488-3200
(516) 488-3266
Mailing address
70 FIR DR, ROSLYN, NY 11576-2406
(516) 484-0882
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Enumeration date
05/31/2006
Last updated
08/22/2020
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