# NAZLY JORDAN INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003349689
- **Authorized official:** NAZLY JORDAN LMSW, MSED (SOCIAL WORKER, SPECIAL EDUCATOR)
- **Authorized official phone:** (917) 453-3064

## Contact information

- **Practice address:** 3520 35TH ST, B33, ASTORIA, NY 11106-1606
- **Practice address phone:** (917) 453-3064
- **Mailing address:** 3520 35TH ST, B33, ASTORIA, NY 11106-1606

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 252Y00000X | Early Intervention Provider Agency | 066358-1 | NY | Yes |

## Other

- **Enumeration date:** 04/10/2017
- **Last updated:** 04/10/2017