Organization · Type 2 NPI

Anthony L. Jordan Health Corporation

Federally Qualified Health Center (FQHC) · Rochester, NY

NPI number 1497039713 Active

Practice location

480 Genesee St, Woodward Center
Rochester, NY 14611-3634

Fax (585) 328-3812

Mailing address

82 Holland St, Aljhc
Rochester, NY 14605-2131

Specialties and licenses

TaxonomyCodeLicense
Federally Qualified Health Center (FQHC) Primary 261QF0400X2701211R (NY)

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

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About NPI 1497039713

Anthony L. Jordan Health Corporation's National Provider Identifier is 1497039713, issued on Oct 5, 2011. 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 Oct 8, 2015.