DR. MARK FORREST GORDON, MD
Neurology at Northern Blvd, Great Neck, NY

License number
New York 167467
Category
Neurology
Type
Neurology
Address
Address 2
865 Northern Blvd, Great Neck, NY 11021
972 Brush Hollow Rd, Westbury, NY 11590
Phone
(516) 570-4477
(516) 465-1890 (Fax)
(516) 876-5555
(516) 876-5539 (Fax)
National Provider ID: 1124098959
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about MARK FORREST GORDON at bizstanding.com

MARK FORREST GORDON, MD, PLLC

PO Box 156, Old Westbury, NY 11568

Status:
Inactive
Inactive reason:
Dissolution
Registration:
Apr 3, 2006
Inactive since:
Jul 25, 2007
State ID:
3342810
Business type:
DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY

Neurology licenses in New York










Other Doctors licenses in New York