Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Michael Gordon, MD

Individual provider Psychiatry Physician · NPI 1902961410

Michael Gordon, MD is a Psychiatry in Glen Cove, New York. Graduated from State University of New York Downstate Medical Center in 1976, 50 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in New York.

Years since qualifying
50
Trained at
State University of New York Downstate Medical Center
Licensed in
NY
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

23 Knott Dr
Glen Cove, NY 11542-4116
Phone: (516) 759-1528
Fax: (516) 759-1528
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 135718 (NY)

Record details

NPI number1902961410
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedDecember 26, 2006
Last updated in NPPESJuly 8, 2007
Mailing address23 Knott Dr, Glen Cove, NY 11542-4116

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPSYCHIATRY
Medical schoolSTATE UNIVERSITY OF NEW YORK DOWNSTATE MEDICAL CENTER
Graduated 1976 (50 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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