Individual provider · Type 1 NPI

Adam Edward Jordan, MB, BCH, BAO

Student in an Organized Health Care Education/Training Program · Albany, NY

NPI number 1649959560 Active

Practice location

43 New Scotland Ave, Dept. Of Pediatric, Mail Code: 102
Albany, NY 12208

Call (518) 262-5626 Map

Mailing address

20 Park St Apt 1-4
Albany, NY 12207-1613

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone 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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About NPI 1649959560

Adam Edward Jordan, MB, BCH, BAO's National Provider Identifier is 1649959560, issued on Jul 17, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Albany, NY. The record was last updated on Jul 18, 2023.