Organization · Type 2 NPI

Anthony L. Jordan Health Corporation

Federally Qualified Health Center (FQHC) · Rochester, NY

NPI number 1174095640 Active

Practice location

214 Lake Ave
Rochester, NY 14608-1208

Call (585) 423-5800 Map

Fax (585) 784-5981

Mailing address

214C Lake Ave
Rochester, NY 14608-1208

Specialties and licenses

TaxonomyCodeLicense
Federally Qualified Health Center (FQHC) Primary 261QF0400XNone listed

Federally Qualified Health Center (FQHC): Definition to come...

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About NPI 1174095640

Anthony L. Jordan Health Corporation's National Provider Identifier is 1174095640, issued on Dec 21, 2018. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Rochester, NY. The record was last updated on Dec 21, 2018.