JORDAN MITTELMARK

Student in an Organized Health Care Education/Training Program

Active Individual
NPI: 1376432856

Practice Address

301 LOCUST AVE
Freeport, NY 11520

Phone: (516) 854-9333

Specialties

Specialty Code Primary License
Student in an Organized Health Care Education/Training Program 390200000X Yes -

Frequently Asked Questions

NPI 1376432856 is the National Provider Identifier for JORDAN MITTELMARK, a Student in an Organized Health Care Education/Training Program provider located in Freeport, NY. This NPI was enumerated on June 30, 2025.
JORDAN MITTELMARK practices at 301 LOCUST AVE, Freeport, NY 11520.

Quick Facts

NPI
1376432856
Type
Individual
Enumerated
Jun 30, 2025
Last Updated
Jun 30, 2025

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