Jordan, Robert Paul

Jordan, Robert Paul is an individual health care provider with primary practice located at 1023 Pulaski Rd , E Northport NY 11731-1931. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot Surgery, which is considered as his primary health care specialty. Jordan, Robert Paul can be contacted via phone (631) 754-3261.

Contact Information

Primary practice address
1023 Pulaski Rd E Northport NY 11731-1931
Phone: (631) 754-3261
Fax: (631) 754-3767
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X NY002856 New York

Profile Details

NPI number 1033193362
LBN Legal business name Jordan, Robert Paul
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 30th, 2005
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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