Provider Demographics
NPI:1073791927
Name:GN PHYSICIANS
Entity Type:Organization
Organization Name:GN PHYSICIANS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:TOM
Authorized Official - Middle Name:
Authorized Official - Last Name:HOPKINS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:516-423-2429
Mailing Address - Street 1:800 NORTHERN BLVD
Mailing Address - Street 2:SUITE# 3B
Mailing Address - City:GREAT NECK
Mailing Address - State:NY
Mailing Address - Zip Code:11021-5314
Mailing Address - Country:US
Mailing Address - Phone:516-423-2429
Mailing Address - Fax:917-386-2691
Practice Address - Street 1:800 NORTHERN BLVD
Practice Address - Street 2:SUITE# 3B
Practice Address - City:GREAT NECK
Practice Address - State:NY
Practice Address - Zip Code:11021-5314
Practice Address - Country:US
Practice Address - Phone:516-423-2429
Practice Address - Fax:917-386-2691
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-03
Last Update Date:2008-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY222663261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY=========OtherIRS