Individual provider · Type 1 NPI

Kaitlyn Jordan, PA-C

Surgical Physician Assistant · Bronx, NY

NPI number 1497493894 Active

Practice location

111 E 210th St
Bronx, NY 10467-2401

Call (718) 920-8874 Map

Fax (718) 231-7113

Other practice locations

  • 1825 Eastchester Rd, Bronx, NY 10461-2301 · (718) 405-8375

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XNone listed

Surgical Physician Assistant: Definition to come...

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About NPI 1497493894

Kaitlyn Jordan, PA-C's National Provider Identifier is 1497493894, issued on May 25, 2022. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Bronx, NY. The record was last updated on May 25, 2022.