Individual provider · Type 1 NPI
Jordan Mittelmark
Student in an Organized Health Care Education/Training Program · Freeport, NY
NPI number
1376432856
Active
Practice location
301 Locust Ave
Freeport, NY 11520-4833
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None listed |
Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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- Kimberly Adames, MA, CF-SLP, TSSLD-BEStudent in an Organized Health Care Education/Training Program Freeport, NY NPI 1912685744
About NPI 1376432856
Jordan Mittelmark's National Provider Identifier is 1376432856, issued on Jun 30, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Freeport, NY. The record was last updated on Jun 30, 2025.