Nicole Jordan MD

NPI 1043374986 - Pediatrics - 208000000X

NPI Details
NPI 1043374986
Gender Female
Enumeration Date 12/21/2006
Last Updated 10/26/2012
Entity Type Individual
Active Over 10 years ago
Practice Location
9422 59TH AVE STE E-1
ELMHURST NY, 11373-5151, US
Phone (718) 592-7797
Fax (718) 685-2777
Business Location
9422 59TH AVE STE E-1
ELMHURST NY, 11373-5151, US
Phone (718) 592-7797
Fax (718) 685-2777
Toxanomy
Taxonomy Code 208000000X
License State New York
License Number 249629
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According to our database, Dr. Nicole Jordan MD NPI is 1043374986, taxonomy code is 208000000X and license number is 249629, license state is located at New York. Nicole Jordan MD physically located at 9422 59th Ave Ste E-1, Elmhurst NY, 11373-5151. NPI Number Nicole Jordan MD has the Individual type.

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1043374986 NPI number is provided on an as is basis without warranty of any kind. 1043374986 is maintained by the National Plan & Provider Enumeration System. The contents of Nicole Jordan MD are for informational purposes only.