Jordan Mittelmark
Jordan Mittelmark is a Student in an Organized Health Care Education/Training Program in Freeport, New York. Practices as a sole proprietor. Registered with an NPI since 2025.
- In the registry since
- 2025
Practice location Address checks out
301 Locust AveFreeport, NY 11520-4833
Phone: (516) 854-9333
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1376432856 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | June 30, 2025 |
| Last updated in NPPES | June 30, 2025 |
| Certification date | June 30, 2025 |
| Mailing address | 301 Locust Ave, Freeport, NY 11520-4833 |
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