Organization
JORDAN HEALTHCARE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VLADIMIR TAUB FNP (NURSE PRACTITIONER)
(917) 716-5479
Entity
Organization
Contact information
Practice address
322 LAKE AVE STE 1, ROCHESTER, NY 14608-1162
(585) 254-6480
Mailing address
817 POND VIEW HTS, ROCHESTER, NY 14612-1350
(917) 716-5479
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
07/05/2016
Last updated
07/05/2016
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