National Provider Identifier
Jordan A Kocon
Jordan A Kocon is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program in Rochester, NY and a listed phone number of (585) 275-3563.
Profile Overview
- NPI
- 1205321908
- Provider Type
- Individual
- Primary Specialty
- Student in an Organized Health Care Education/Training Program
- Enumeration Date
- June 25, 2018
- Last Updated
- April 09, 2024
Practice Location
- 300 Crittenden Blvd
- Rochester, NY 14642-2241
Phone: (585) 275-3563
Mailing Address
- 1945 Amis Ave
- Las Cruces, NM 88005-1649
Specialties
- Student in an Organized Health Care Education/Training Program (390200000X)
- Mental Health Counselor (101YM0800X)
Full Record
- NPI
- 1205321908
- Entity Type
- Individual
- Last Name
- Kocon
- First Name
- Jordan
- Middle Name
- A
- Mailing Street Address
- 1945 Amis Ave
- Mailing City
- Las Cruces
- Mailing State
- NM
- Mailing ZIP Code
- 88005-1649
- Mailing Country
- US
- Mailing Phone
- (763) 772-2991
- Practice Street Address
- 300 Crittenden Blvd
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14642-2241
- Practice Country
- US
- Practice Phone
- (585) 275-3563
- Enumeration Date
- June 25, 2018
- Last Updated
- April 09, 2024
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- April 09, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Student in an Organized Health Care Education/Training Program (390200000X), Mental Health Counselor (101YM0800X)