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Individual

DR. JORDAN SUDBERG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D

Contact information

Practice address
1717 VETERANS MEMORIAL HWY STE 1, ISLANDIA, NY 11749-1532
(631) 203-4300
(631) 203-4305
Mailing address
50 E 28TH ST APT 21D, NEW YORK, NY 10016-7980
(646) 239-8418

Taxonomy

Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
272774
NY

Other

Enumeration date
08/05/2008
Last updated
10/31/2024
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