Individual
JORDAN VANLARE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
460 BEECHMONT DR, NEW ROCHELLE, NY 10804-4613
(914) 200-3782
Mailing address
460 BEECHMONT DR, NEW ROCHELLE, NY 10804-4613
(914) 200-3782
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
276892
NY
Other
Enumeration date
05/14/2013
Last updated
08/13/2015
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