Individual
DR. JORDAN MARC RUSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1488 WANTAGH AVE, WANTAGH, NY 11793-2204
(516) 785-6800
Mailing address
1488 WANTAGH AVE, WANTAGH, NY 11793-2204
(516) 785-6800
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
253319
NY
Other
Enumeration date
07/30/2008
Last updated
04/08/2012
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