Individual
DR. BARRY D JORDAN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
785 MAMARONECK AVE, WHITE PLAINS, NY 10605-2523
(914) 597-2500
(914) 597-2439
Mailing address
195 BALCOM AVE, # 3A, BRONX, NY 10465-0362
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
150448
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
150448
STATE LICENSE
NY
Enumeration date
03/27/2006
Last updated
07/08/2007
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