Individual
JONATHAN NICHOL JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
975 STEWART AVE, GARDEN CITY, NY 11530-4816
(516) 222-8640
(516) 745-5479
Mailing address
975 STEWART AVE, GARDEN CITY, NY 11530-4816
(516) 222-8640
(516) 745-5479
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
279007
NY
Other
Enumeration date
04/01/2009
Last updated
03/24/2021
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