Individual
DR. JORDAN MICHAEL VIRBALAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3400 BAINBRIDGE AVE, DEPT OF OTOLARYNGOLOGY, 3RD FLOOR, BRONX, NY 10467-2404
(617) 501-0198
Mailing address
536 BERGEN ST, APT 3R, BROOKLYN, NY 11217-4001
(617) 501-0198
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
AB1876296
NY
Other
Enumeration date
04/27/2010
Last updated
07/22/2010
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