Individual
ANDRE JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
50 NEVINS ST, BROOKLYN, NY 11217-1004
(917) 880-8258
(718) 885-4036
Mailing address
50 NEVINS ST, BROOKLYN, NY 11217-1004
(917) 880-8258
(718) 885-4036
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
12/08/2016
Last updated
12/08/2016
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