Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207W00000X | Ophthalmologist | 264141 | NY |
NPI | 1013236322 |
---|---|
Provider Name | Dr. Matthew Gorski |
First Address | Great Neck, NY 11021-5200 |
Second Address | Great Neck, NY 11021 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/05/2010 |
Last Update Date | 08/12/2018 |