DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JORDAN ROSE

Active Sole Proprietor

Registered Nurse · MASSAPEQUA PARK, NY

Registration Details

NPI Number
1144635715
Provider Type
Individual
Gender
Male
NPI Issued
Jun 23, 2014 (11.859024594551 yrs)
Last Updated
Jun 23, 2014
License
679239 (NY)
Sole Proprietor
Yes

Practice Information

Address
132 HARBOR LN
MASSAPEQUA PARK, NY, 117624003
Browse NY providers · Browse ZIP 11762
Phone
5167991820
Primary Specialty
Registered Nurse
163W00000X

Other Registered Nurse Providers in MASSAPEQUA PARK, NY

Name Credential NPI
MS. DIANE MCNAMARA RN 1760545842
ROSE AURORA 1174754998
NICOLE S DION LUNZ RN 1851619928
TRACY WALSH RN 1831496835
MRS. MARY IRWIN R.N. 1760759427
CRISTIE LYNN BARONE RN 1376812750
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.