Organization
ANTHONY L. JORDAN HEALTH CORPORATION
Active
Organization
ANTHONY L. JORDAN HEALTH CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YADITSY CANTERO (CREDENTIALING SPECIALIST)
(585) 423-2853
Entity
Organization
Contact information
Practice address
82 HOLLAND ST, ROCHESTER, NY 14605-2131
(585) 423-2816
(585) 423-2853
Mailing address
82 HOLLAND ST, ROCHESTER, NY 14605-2131
(585) 423-2816
(585) 423-2853
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
194379
NY
Other
Enumeration date
10/25/2016
Last updated
10/25/2016
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