National Provider Identifier
Jordan Antetomaso
Jordan Antetomaso 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) 974-5045.
Profile Overview
- NPI
- 1982267142
- Provider Type
- Individual
- Primary Specialty
- Student in an Organized Health Care Education/Training Program
- Enumeration Date
- April 15, 2019
- Last Updated
- April 15, 2019
Practice Location
- 1455 E Ridge RD
- Rochester, NY 14621-2006
Phone: (585) 974-5045
Specialties
- Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
- NPI
- 1982267142
- Entity Type
- Individual
- Last Name
- Antetomaso
- First Name
- Jordan
- Mailing Street Address
- 1455 E Ridge RD
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14621-2006
- Mailing Country
- US
- Practice Street Address
- 1455 E Ridge RD
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14621-2006
- Practice Country
- US
- Practice Phone
- (585) 974-5045
- Enumeration Date
- April 15, 2019
- Last Updated
- April 15, 2019
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Student in an Organized Health Care Education/Training Program (390200000X)