Shane Jordan, PA-C

NPI 1982062576 · on the registry since 2016

Practice

Address: 80 Maiden Ln Ste 900
New York, NY 10038
Phone: (917) 261-4414
Fax: (917) 261-4420
Organisation at this address: Walgreen Co
Taz Footcare, Pc
Christine Palaski
Project Ohr, Inc.
Downtown Primary Care Llp
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 50

Registry record

Primary taxonomy: 363A00000X
363A00000X
Licence states on file: NY
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2022-08-16

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