National Provider Identifier
Anthony L. Jordan Health Corporation
Anthony L. Jordan Health Corporation is listed in the NPPES registry with a primary specialty of Federally Qualified Health Center (FQHC) in Rochester, NY and a listed phone number of (585) 423-2816.
Source: public NPPES record, last updated October 25, 2016. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1639621709
- Provider Type
- Organization
- Primary Specialty
- Federally Qualified Health Center (FQHC)
- Enumeration Date
- October 25, 2016
- Last Updated
- October 25, 2016
Practice Location
- 82 Holland St
- Rochester, NY 14605-2131
Phone: (585) 423-2816
Authorized Official
- Name
- Yaditsy Cantero
- Title
- Credentialing Specialist
- Phone
- (585) 423-2853
Specialties
- Federally Qualified Health Center (FQHC) (261QF0400X)
Browse Similar Providers
See more Federally Qualified Health Center (FQHC) providers in Rochester, NY.
Open Federally Qualified Health Center (FQHC) providers in Rochester, NY
Full Record
- NPI
- 1639621709
- Entity Type
- Organization
- EIN
- <UNAVAIL>
- Organization Name
- Anthony L. Jordan Health Corporation
- Mailing Street Address
- 82 Holland St
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14605-2131
- Mailing Country
- US
- Mailing Phone
- (585) 423-2816
- Mailing Fax
- (585) 423-2853
- Practice Street Address
- 82 Holland St
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14605-2131
- Practice Country
- US
- Practice Phone
- (585) 423-2816
- Practice Fax
- (585) 423-2853
- Enumeration Date
- October 25, 2016
- Last Updated
- October 25, 2016
- Authorized Official Last Name
- Cantero
- Authorized Official First Name
- Yaditsy
- Authorized Official Title
- Credentialing Specialist
- Authorized Official Phone
- (585) 423-2853
- Organization Subpart
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Federally Qualified Health Center (FQHC) (261QF0400X)