Individual
JORDAN DOURMASHKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
56 ARTHUR PL, YONKERS, NY 10701-1703
(914) 376-9554
(914) 376-9554
Mailing address
56 ARTHUR PL, YONKERS, NY 10701-1703
(914) 376-9554
(914) 376-9554
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
001590
CT
363AM0700X
Medical Physician Assistant
Primary
008492
NY
363AS0400X
Surgical Physician Assistant
008492
NY
Other
Enumeration date
07/26/2006
Last updated
02/04/2010
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