Jordan Antetomaso
Jordan Antetomaso is a Student in an Organized Health Care Education/Training Program in Rochester, New York. Practices as a sole proprietor. Registered with an NPI since 2019.
- In the registry since
- 2019
Practice location Address checks out
1455 E Ridge RdRochester, NY 14621-2006
Phone: (585) 974-5045
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1982267142 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | April 15, 2019 |
| Last updated in NPPES | April 15, 2019 |
| Mailing address | 1455 E Ridge Rd, Rochester, NY 14621-2006 |
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