Jordan Rose
NPI #1144635715 in Massapequa Park, New York
Provider Information
- NPI Number
- 1144635715
- Entity Type
- Individual
- Name
- Jordan Rose
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Registered Nurse
- Enumeration Date
- Jun 23, 2014
- Last Updated
- Jun 23, 2014
Practice Location
- Address
- 132 HARBOR LN
- City
- Massapequa Park
- State
- New York
- ZIP Code
- 11762-4003
- Phone
- (516) 799-1820
Specialties & Taxonomy Codes
| Specialty |
|---|
| Registered Nurse |
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