Individual
MS. BECKY DUNZA JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NPP
Contact information
Practice address
600 MAMARONECK AVE, STE 400, HARRISON, NY 10528-1613
(914) 315-4291
Mailing address
600 MAMARONECK AVE, STE 400, HARRISON, NY 10528-1613
(914) 315-4291
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F401879
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
NY
Enumeration date
07/15/2009
Last updated
01/14/2021
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