Organization · Type 2 NPI
Anthony L. Jordan Health Corporation
Federally Qualified Health Center (FQHC) · Rochester, NY
NPI number
1457626129
Active
Practice location
125 Saint Paul St
Rochester, NY 14609
Fax (585) 546-3485
Mailing address
82 Holland St
Rochester, NY 14605-2131
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Federally Qualified Health Center (FQHC) Primary | 261QF0400X | 2701211R (NY) |
Federally Qualified Health Center (FQHC): Definition to come...
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About NPI 1457626129
Anthony L. Jordan Health Corporation's National Provider Identifier is 1457626129, issued on Mar 14, 2012. 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 Feb 20, 2014.