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Organization
SALLY C JORDAN, MD
Active
Organization
SALLY C JORDAN, MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. COUMBA SAM (BILLLING MANGER)
(914) 588-9862
Entity
Organization
Contact information
Practice address
700 POST RD, SCARSDALE, NY 10583-5063
(914) 472-5141
(845) 207-9378
Mailing address
700 POST RD, SCARSDALE, NY 10583-5063
(914) 472-5141
(845) 207-9378
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
154001-1
LICENSE
NY
Enumeration date
04/04/2007
Last updated
12/26/2007
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