| Jordan D Metzl Md Pc | |
|
519 E 72nd St Rm 206 New York NY 10021-4028 | |
| (212) 606-1678 | |
| Not Available |
| Full Name | Jordan D Metzl Md Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 519 E 72nd St, New York, New York |
| Authorized Official Name and Position | Jordan D Metzl (PRESIDENT) |
| Authorized Official Contact | 2126061678 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jordan D Metzl Md Pc 535 E 70th St New York NY 10021-4823 Ph: (212) 606-1678 | Jordan D Metzl Md Pc 519 E 72nd St Rm 206 New York NY 10021-4028 Ph: (212) 606-1678 |
| NPI Number | 1891063491 |
|---|---|
| Provider Enumeration Date | 12/09/2011 |
| Last Update Date | 12/09/2011 |
| Medicare PECOS PAC ID | 3779848106 |
|---|---|
| Medicare Enrollment ID | O20180605002593 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891063491 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RS0010X | Internal Medicine - Sports Medicine | 210811 (New York) | Primary |
| Provider Name | Jordan D Metzl |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1972566495 PECOS PAC ID: 0446290514 Enrollment ID: I20050509000189 |
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