| NPI | 1922953603 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PIERRE STEEVE GORDON Owner 516-448-3074 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2026-02-27 |
| Last Update Date | 2026-02-27 |