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Individual

CATHERINE JORDAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
4850 BROAD RD STE 2C, SYRACUSE, NY 13215-5103
(315) 492-5915
Mailing address
4850 BROAD RD STE 2C, SYRACUSE, NY 13215-5103
(315) 492-5195

Taxonomy

Speciality
Code
Description
License number
State
163WW0101X
Ambulatory Women's Health Care Registered Nurse
496152
NY
363LW0102X
Women's Health Nurse Practitioner
Primary
421195
NY

Other

Enumeration date
07/14/2014
Last updated
10/26/2021
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