Individual
JORDAN GUERIN HACKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
622 W 168TH ST # VC260, NEW YORK, NY 10032-3720
(917) 922-0166
Mailing address
200 E END AVE APT 10L, NEW YORK, NY 10128-8024
(917) 922-0166
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
323986
NY
Other
Enumeration date
03/28/2019
Last updated
08/08/2023
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