Andre Jordan
NPI 1679017727 · on the registry since 2016 · sole proprietor
Practice
- Address
- 50 Nevins St
Brooklyn, NY 11217 - Phone
- (917) 880-8258
- Fax
- (718) 885-4036
- Organisation at this address
- Icl Treatment Apartment Program
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 17
Registry record
- Primary taxonomy
- Counselor
101Y00000X
- Sex
- Male
- Record last updated
- 2016-12-08
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