Irene Jordan
Peer Specialist in Valley Stream, NY. Individual provider (NPI-1).
NPI number1750195947
StatusActive
Last updated in NPPESFeb 6, 2025
Details
- NPI
- 1750195947
- Entity type
- Individual (NPI-1)
- Name
- Irene Jordan
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 6, 2025
- Certification date
- Feb 6, 2025
- Last updated
- Feb 6, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 175T00000X | Peer Specialist | CRPA-P-8353 | NY | Yes |
Practice location
497 Rockaway AveValley Stream, NY 11581-1909
Phone 516-569-6600
Mailing address
16104 Jewel Ave Apt 1cFlushing, NY 11365-4303
Phone 631-626-1619
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- Matthew John DipianoNPI 1811702855
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All 17 Peer Specialist providers in Valley Stream · All 2,560 providers in Valley Stream
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