Individual
JORDAN ELIZABETH DRAGON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
525 E 68TH ST, NEW YORK, NY 10065-4870
(212) 746-0780
Mailing address
525 E 68TH ST # 179, NEW YORK, NY 10065-4870
(212) 746-0780
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
030166
NY
Other
Enumeration date
07/31/2023
Last updated
07/31/2023
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