Dr. David Gordon
Nuclear Medicine Specialist
825 Bungalow Ln
Mattituck
, New York 11952-2209
Dr. David Gordon
Nuclear Medicine Specialist
825 Bungalow Ln
Mattituck
, New York 11952-2209
(631) 298-7868
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About
Features
Specialties
- Nuclear Medicine Specialist
Languages spoken
- English
Location
First Address
- Dr. David Gordon
- 825 Bungalow Ln
- Mattituck, NY
- Zip : 11952-2209
- Phone : (631) 298-7868
Second Address
- Dr. David Gordon
- 825 Bungalow Ln
- Mattituck, NY
- Zip : 11952-2209
- Phone : (631) 298-7868
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207U00000X | Nuclear Medicine Specialist | 104576-1 | NY |
National Provider Identifier
| NPI | 1568534501 |
|---|---|
| Provider Name | Dr. David Gordon |
| First Address | Mattituck, NY 11952-2209 |
| Second Address | Mattituck, NY 11952-2209 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/11/2006 |
| Last Update Date | 03/06/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 00181842 | (05) | NY |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.