MARK FORREST GORDON MD PLLC NPI 1114974342

NPI Information

  • NPI: 1114974342
  • Provider Name: MARK FORREST GORDON, MD, PLLC
  • Classification: Psychiatry & Neurology - 2084N0400X
  • Specialization: Neurology
  • Entity Type: Organization
  • Address: 3003 NEW HYDE PARK RD
    STE 312
    NEW HYDE PARK, NY
    ZIP 11042
  • Phone: (516) 488-3200

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NPI Details

MARK FORREST GORDON, MD, PLLC is a neurology psychiatry neurology in New Hyde Park, NY. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. MARK FORREST GORDON, MD, PLLC NPI is 1114974342. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3003 NEW HYDE PARK RD
STE 312
NEW HYDE PARK, NY
ZIP 11042-214
Phone: (516) 488-3200
Fax: (516) 488-3266

The provider's authorized official is Mark Forrest Gordon .
The authorized official title is Owner and has the following contact phone number (516) 488-3200.

The enumeration date for this NPI number is 5/31/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12084N0400XPsychiatry & NeurologyNeurologyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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