Robert Paul Jordan
Foot Surgery
1023 Pulaski Rd
E Northport
, New York 11731-1931
Robert Paul Jordan
Foot Surgery
1023 Pulaski Rd
E Northport
, New York 11731-1931
(631) 754-3261
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About
Features
Specialties
- Foot Surgery
Languages spoken
- English
Location
First Address
- Robert Paul Jordan
- 19 Fox Hollow Ridings Rd
- Northport, NY
- Zip : 11768-2244
- Phone : (631) 754-3261
Second Address
- Robert Paul Jordan
- 1023 Pulaski Rd
- E Northport, NY
- Zip : 11731-1931
- Fax : (631) 754-3767
- Phone : (631) 754-3261
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 213ES0131X | Foot Surgery | NY002856 | NY |
National Provider Identifier
| NPI | 1033193362 |
|---|---|
| Provider Name | Robert Paul Jordan |
| First Address | Northport, NY 11768-2244 |
| Second Address | E Northport, NY 11731-1931 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 30/11/2005 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.