Individual
DENIS J JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
17900 LINDEN BLVD, JAMAICA, NY 11434-1468
(718) 526-1000
Mailing address
18915 37TH AVE, AUBURNDALE, NY 11358-2495
(718) 614-9415
Taxonomy
Speciality
Code
Description
License number
State
225A00000X
Music Therapist
Primary
14483
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1024
LICENSED CREATIVE ARTS THERAPIST
NY
Enumeration date
11/17/2020
Last updated
11/17/2020
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