Kassoff, Jordan
Kassoff, Jordan is an individual health care provider with primary practice located at 63 Shaker Rd Sutie 101, Albany NY 12204-1030. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Kassoff, Jordan can be contacted via phone (518) 434-1042.Contact Information
Primary practice address
63 Shaker Rd Sutie 101
Albany NY 12204-1030
Phone: (518) 434-1042
Fax: (518) 434-4327
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 174732 | New York |
Profile Details
| NPI number | 1407849292 |
|---|---|
| LBN Legal business name | Kassoff, Jordan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 26th, 2005 |
| Last updated | Mar 4th, 2009 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1407849292 | NPPES |
| New York | MEDICAID | 01413056 |
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