DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: ANTHONY L. JORDAN HEALTH CORPORATION

MEDICARE: ANTHONY L. JORDAN HEALTH CORPORATION
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QF0400XFederally Qualified Health Center (FQHC)2701211RNY

General Provider Information

NPI Number : 1750700399
Entity Type Code : Organization
Provider Name (Legal Business Name) : ANTHONY L. JORDAN HEALTH CORPORATION
Provider Business Mailing Address
First Line : 82 HOLLAND ST
Second Line : ATTN: HR
City : ROCHESTER
State : NY
Zip : 14605-2131
Country : US
Telephone Number : 585-423-2816
Fax Number :
Provider Business Practice Location Address
First Line : 950 NORTON ST
Second Line :
City : ROCHESTER
State : NY
Zip : 14621-3732
Country : US
Telephone Number : 585-324-3750
Fax Number :
Authorized Official
Title or Position : CREDENTIALING
Name : MONICA GRAHAM
Credential :
Telephone Number : 585-423-2816
Provider Enumeration Date : 04/10/2014
Last Update Date : 07/16/2014

Similar Medicare Providers

1811146087 — KATHRINE BASAL LMSW
Practice Location Address:
950 NORTON ST
ROCHESTER, NY
14621-3732
Practice Phone: 585-324-3726
Practice Fax:
1356654107 — KERRIE GIANVECCHIO LCSW
Practice Location Address:
950 NORTON ST
ROCHESTER, NY
14621-3732
Practice Phone: 585-324-3726
Practice Fax: 585-336-5525
1013227206 — MS. KANIKA SHUKURA MOXLEY RN, BSN
Practice Location Address:
950 NORTON ST
ROCHESTER, NY
14621-3732
Practice Phone: 585-719-9799
Practice Fax:
1861798134 — MRS. THERESA RITA PARLET M.S. C.C.C.
Practice Location Address:
950 NORTON ST
ROCHESTER, NY
14621-3732
Practice Phone: 585-324-3720
Practice Fax: 585-336-5549
1942598271 — ANGELA SENONER F.N.P
Practice Location Address:
950 NORTON ST
ROCHESTER, NY
14621-3732
Practice Phone: 585-324-3726
Practice Fax:
1710275946 — KAMILA BARNES
Practice Location Address:
950 NORTON ST
ROCHESTER, NY
14621-3732
Practice Phone: 585-454-7530
Practice Fax: 585-423-7440

Directions to “ANTHONY L. JORDAN HEALTH CORPORATION ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.