Individual
JORDAN MACKSOUD DANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
352 7TH AVE FL 12A, NEW YORK, NY 10001-5893
(970) 618-2256
Mailing address
352 7TH AVE FL 12A, NEW YORK, NY 10001-5893
(970) 618-2256
Taxonomy
Speciality
Code
Description
License number
State
102L00000X
Psychoanalyst
Primary
001071
NY
Other
Enumeration date
03/20/2020
Last updated
03/20/2020
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