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Jordan Mittelmark
NPI 1376432856 · on the registry since 2025 · sole proprietor
Practice
- Address
- 301 Locust Ave
Freeport, NY 11520 - Phone
- (516) 854-9333
Registry record
- Primary taxonomy
- 390200000X
390200000X
- Licence states on file
- NULL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-06-30
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York