| Dr Michael R Jordan, MD | |
|
1200 Driving Park Ave, Newark, NY 14513-1057 | |
| (315) 359-2660 | |
| (315) 359-2635 |
| Full Name | Dr Michael R Jordan |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 1200 Driving Park Ave, Newark, New York |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053323469 | NPI | - | NPPES |
| 00596429 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 145672 (New York) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Michael R Jordan, MD 1200 Driving Park Ave, Newark, NY 14513-1057 Ph: (315) 359-2660 | Dr Michael R Jordan, MD 1200 Driving Park Ave, Newark, NY 14513-1057 Ph: (315) 359-2660 |
Dr. Thomas G Payyapilli, M.D Pediatrics Medicare: Medicare Enrolled Practice Location: 703 E Maple Ave, Newark, NY 14513 Phone: 315-331-1700 Fax: 315-331-3946 | |
Dr. Beth A Orlowski, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 1200 Driving Park Ave, Newark, NY 14513 Phone: 315-359-2660 Fax: 315-359-2635 | |
Dr. Steven T Galutia, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1200 Driving Park Ave, Newark, NY 14513 Phone: 315-359-2660 Fax: 315-359-2635 | |
Caryl E Bjorseth, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1200 Driving Park Ave, Newark, NY 14513 Phone: 315-359-2660 Fax: 315-359-2635 | |
Raissa Madeleine Ong, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1200 Driving Park Ave, Newark, NY 14513 Phone: 315-359-2621 | |
Dr. Nivedita P Prabhu, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1200 Driving Park Ave, Newark, NY 14513 Phone: 315-359-2660 Fax: 315-359-2635 |