| Jordan Healthcare Center | |
|
322 Lake Ave Ste 1 Rochester NY 14608-1162 | |
| (585) 254-6480 | |
| Not Available |
| Full Name | Jordan Healthcare Center |
|---|---|
| Speciality | Clinic/center |
| Location | 322 Lake Ave Ste 1, Rochester, New York |
| Authorized Official Name and Position | Vladimir Taub (NURSE PRACTITIONER) |
| Authorized Official Contact | 9177165479 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jordan Healthcare Center 817 Pond View Hts Rochester NY 14612-1350 Ph: (917) 716-5479 | Jordan Healthcare Center 322 Lake Ave Ste 1 Rochester NY 14608-1162 Ph: (585) 254-6480 |
| NPI Number | 1396197158 |
|---|---|
| Provider Enumeration Date | 07/05/2016 |
| Last Update Date | 07/05/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396197158 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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