Individual
ROBERT PAUL JORDAN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
1023 PULASKI RD, E NORTHPORT, NY 11731-1931
(631) 754-3261
(631) 754-3767
Mailing address
19 FOX HOLLOW RIDINGS RD, NORTHPORT, NY 11768-2244
(631) 754-3261
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
NY002856
NY
Other
Enumeration date
11/30/2005
Last updated
07/08/2007
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