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Jordan Rose
NPI 1144635715 · on the registry since 2014 · sole proprietor
Practice
- Address
- 132 Harbor Ln
Massapequa Park, NY 11762 - Phone
- (516) 799-1820
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- Registered Nurse
163W00000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2014-06-23
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York