Individual
MR. JORDAN C NIGRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
830 WASHINGTON ST, WATERTOWN, NY 13601-4034
(315) 785-4313
Mailing address
PO BOX 2001, EAST SYRACUSE, NY 13057-4501
(315) 362-5129
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
631040
NY
Other
Enumeration date
03/13/2018
Last updated
05/30/2020
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