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Organization
JORDAN S. JOSEPHSON, M.D. P.C.
Active
Organization
JORDAN S. JOSEPHSON, M.D. P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JORDAN S JOSEPHSON (OWNER)
(212) 717-1773
Entity
Organization
Contact information
Practice address
205 E 76TH ST, M-1, NEW YORK, NY 10021-2147
(212) 717-1773
Mailing address
205 E 76TH ST, M-1, NEW YORK, NY 10021-2147
(212) 717-1773
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
165057
NY
Other
Enumeration date
03/28/2012
Last updated
03/28/2012
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