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Dwayne Jordan

NPI 1821931908 · on the registry since 2026 · sole proprietor

Practice

Address
1237 E 83rd St
Brooklyn, NY 11236
Phone
(973) 715-0135

Registry record

Primary taxonomy
163W00000X
163W00000X
Also registered as
251J00000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-04-15

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