National Provider Identifier
Jordan Healthcare Center
Jordan Healthcare Center is listed in the NPPES registry with a primary specialty of Clinic/Center in Rochester, NY and a listed phone number of (585) 254-6480.
Source: public NPPES record, last updated July 05, 2016. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1396197158
- Provider Type
- Organization
- Primary Specialty
- Clinic/Center
- Enumeration Date
- July 05, 2016
- Last Updated
- July 05, 2016
Practice Location
- 322 Lake Ave Ste 1
- Rochester, NY 14608-1162
Phone: (585) 254-6480
Mailing Address
- 817 Pond View Hts
- Rochester, NY 14612-1350
Authorized Official
- Name
- Vladimir Taub
- Title
- Nurse Practitioner
- Credentials
- FNP
- Phone
- (917) 716-5479
Specialties
- Clinic/Center (261Q00000X)
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Full Record
- NPI
- 1396197158
- Entity Type
- Organization
- EIN
- <UNAVAIL>
- Organization Name
- Jordan Healthcare Center
- Mailing Street Address
- 817 Pond View Hts
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14612-1350
- Mailing Country
- US
- Mailing Phone
- (917) 716-5479
- Practice Street Address
- 322 Lake Ave Ste 1
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14608-1162
- Practice Country
- US
- Practice Phone
- (585) 254-6480
- Enumeration Date
- July 05, 2016
- Last Updated
- July 05, 2016
- Authorized Official Last Name
- Taub
- Authorized Official First Name
- Vladimir
- Authorized Official Title
- Nurse Practitioner
- Authorized Official Phone
- (917) 716-5479
- Organization Subpart
- No
- Authorized Official Credential Text
- FNP
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinic/Center (261Q00000X)