Organization
ALAN JORDAN, M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. IRIS A JORDAN R.N., M.S. (OFFICE MANAGER)
(718) 834-1976
Entity
Organization
Contact information
Practice address
149 PIERREPONT ST, BROOKLYN, NY 11201-2712
(718) 834-1976
(718) 855-8567
Mailing address
149 PIERREPONT ST, BROOKLYN, NY 11201-2712
(718) 834-1976
(718) 855-8567
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
124104
NY
207W00000X
Ophthalmology Physician
158997
NY
207W00000X
Ophthalmology Physician
198023
NY
207W00000X
Ophthalmology Physician
221505
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02531946
—
NY
Enumeration date
06/30/2005
Last updated
05/01/2015
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