Individual
SUSAN YVETTE SAMPSON-JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13041 224TH ST, LAURELTON, NY 11413-1245
(347) 458-5465
(347) 529-1993
Mailing address
13041 224TH ST, LAURELTON, NY 11413-1245
(347) 458-5465
(347) 529-1993
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
882009-01
NY
Other
Enumeration date
10/22/2025
Last updated
10/22/2025
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