Provider Demographics
NPI:1275600777
Name:GORDON AND HELD, MDPC
Entity Type:Organization
Organization Name:GORDON AND HELD, MDPC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ARLEEN
Authorized Official - Middle Name:
Authorized Official - Last Name:HELD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-488-2743
Mailing Address - Street 1:1300 UNION TPKE
Mailing Address - Street 2:
Mailing Address - City:NEW HYDE PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11040-1759
Mailing Address - Country:US
Mailing Address - Phone:516-488-2743
Mailing Address - Fax:
Practice Address - Street 1:1300 UNION TPKE
Practice Address - Street 2:
Practice Address - City:NEW HYDE PARK
Practice Address - State:NY
Practice Address - Zip Code:11040-1759
Practice Address - Country:US
Practice Address - Phone:516-488-2743
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-29
Last Update Date:2010-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYDH072D6410Medicare ID - Type Unspecified
B79122Medicare UPIN
NYD47824Medicare UPIN
NYLG08393210Medicare ID - Type Unspecified