JORDAN ROSE

MASSAPEQUA PARK, NY
NPI1144635715
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy163W00000X Registered Nurse
(Licence: NY  679239)
Enumeration Date2014-06-23
Last Update Date2014-06-23
Business Address
-- JORDAN ROSE
132 HARBOR LN
MASSAPEQUA PARK, NY 11762-4003
Phone number: 516-799-1820
Mailing Address
-- JORDAN ROSE
132 HARBOR LN
MASSAPEQUA PARK, NY 11762-4003
Phone number:
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