Individual
JORDAN KAITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
234 E 25TH ST, NEW YORK, NY 10010-3126
(914) 629-8671
Mailing address
234 E 25TH ST, NEW YORK, NY 10010-3126
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
646283
NY
163WE0003X
Emergency Registered Nurse
95059660
CA
Other
Enumeration date
10/04/2015
Last updated
10/04/2015
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