National Provider Identifier
Jordan Toles
Jordan Toles is listed in the NPPES registry with a primary specialty of Peer Specialist in Lackawanna, NY and a listed phone number of (716) 248-4371.
Profile Overview
- NPI
- 1760959407
- Provider Type
- Individual
- Primary Specialty
- Peer Specialist
- Enumeration Date
- October 31, 2018
- Last Updated
- October 31, 2018
Practice Location
- 790 Ridge RD
- Lackawanna, NY 14218-1629
Phone: (716) 248-4371
Specialties
- Peer Specialist (175T00000X)
Full Record
- NPI
- 1760959407
- Entity Type
- Individual
- Last Name
- Toles
- First Name
- Jordan
- Mailing Street Address
- 790 Ridge RD
- Mailing City
- Lackawanna
- Mailing State
- NY
- Mailing ZIP Code
- 14218-1629
- Mailing Country
- US
- Practice Street Address
- 790 Ridge RD
- Practice City
- Lackawanna
- Practice State
- NY
- Practice ZIP Code
- 14218-1629
- Practice Country
- US
- Practice Phone
- (716) 248-4371
- Enumeration Date
- October 31, 2018
- Last Updated
- October 31, 2018
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Peer Specialist (175T00000X)