Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JORDAN MITTELMARK
Active Sole ProprietorJORDAN MITTELMARK is a Student (Health Education/Training) healthcare provider located in FREEPORT, New York. NPI 1376432856 is currently active in the NPPES registry. Verify at CMS.
Student (Health Education/Training) · FREEPORT, NY
Registration Details
- NPI Number
- 1376432856
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 30, 2025 (1.0953899654938 yrs)
- Last Updated
- Jun 30, 2025
- Sole Proprietor
- Yes
Practice Information
- Address
-
301 LOCUST AVEFREEPORT, NY, 115204833Browse NY providers · Browse ZIP 11520
- Phone
- 5168549333
- Primary Specialty
-
Student (Health Education/Training)
390200000X
Other Student (Health Education/Training) Providers in FREEPORT, NY
| Name | Credential | NPI |
|---|---|---|
| CHERRYANN DALRYMPLE | — | 1053715565 |
| LATECIA LEE | — | 1275058265 |
| KAITLYN FREY | — | 1376001941 |
| ASHLEY KRAVITZ | PA-S | 1609532860 |
| KIMBERLY ADAMES | MA, CF-SLP, TSSLD-BE | 1912685744 |
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.