MS. MURIEL P GORDON NP NPI 1902816028

NPI Information

NPI: 1902816028
Provider Name: MS. MURIEL P GORDON, NP
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Individual

Specialization: Pediatrics

Address:
1080 SUNRISE HWY
MAXINE POSTAL TRI COMMUNITY CLINIC
AMITYVILLE, NY
ZIP 11701
Phone: (631) 854-1022
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MS. Muriel P Gordon, NP is a pediatrics nurse practitioner in Amityville, NY. MS. Muriel P Gordon, NP NPI is 1902816028. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1080 SUNRISE HWY
MAXINE POSTAL TRI COMMUNITY CLINIC
AMITYVILLE, NY
ZIP 11701
Phone: (631) 854-1022
Fax: (631) 854-1031

The enumeration date for this NPI number is 8/9/2006 and was last updated on 7/8/2007.

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
1	363LP0200X	Nurse Practitioner	Pediatrics	F3806541	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	S86460	MEDICARE UPIN
2	01770290	MEDICAID	NEW YORK
3	MG091N4310	MEDICARE ID-TYPE UNSPECIFIED

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: 4/28/2024

NPI Synchronization or Removal

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