Individual
JORDAN HART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
601 ELMWOOD AVE, ROCHESTER, NY 14642-0001
(585) 275-3555
(585) 273-5761
Mailing address
601 ELMWOOD AVE, BOX 278984, ROCHESTER, NY 14642-0001
(585) 275-3555
(585) 273-5761
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
017835
NY
2084N0400X
Neurology Physician
17835
NY
363A00000X
Physician Assistant
23 017835
NY
Other
Enumeration date
08/15/2014
Last updated
04/28/2023
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