Dr. Jordan Seth Laser, M.D.
Student in an Organized Health Care Education/Training Program in New York, NY. Individual provider (NPI-1).
NPI number1750587366
StatusActive
Last updated in NPPESApr 29, 2010
Details
- NPI
- 1750587366
- Entity type
- Individual (NPI-1)
- Name
- Dr. Jordan Seth Laser
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 22, 2007
- Last updated
- Apr 29, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
1 Gustave Levy PlaceNew York, NY 10129-5011
Phone 212-659-8112
Mailing address
1065 Park Ave Apt 3dNew York, NY 10128-1001
Phone 516-984-5454
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