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NPI Code Detail

MEDICARE: ASPEN JORDAN-PLATOW

MEDICARE:   ASPEN  JORDAN-PLATOW
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
1101YM0800XMental Health Counselor012793NY

General Provider Information

NPI Number : 1396465373
Entity Type Code : Individual
Provider Name (Legal Business Name) : ASPEN JORDAN-PLATOW
Provider Business Mailing Address
First Line : 515 BOSTON POST RD
Second Line :
City : PORT CHESTER
State : NY
Zip : 10573-4734
Country : US
Telephone Number : 413-884-4444
Fax Number :
Provider Business Practice Location Address
First Line : 515 BOSTON POST RD
Second Line :
City : PORT CHESTER
State : NY
Zip : 10573-4734
Country : US
Telephone Number : 413-884-4444
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/31/2022
Last Update Date : 07/29/2025

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Directions to “ ASPEN JORDAN-PLATOW ” Practice Location

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