Kingsbury, Dallas Jordan

Kingsbury, Dallas Jordan is an sole proprietor health care provider with primary practice located at 251 5Th Ave Fl 7 , New York NY 10016-6515. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation. Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation is his primary health care specialty. Kingsbury, Dallas Jordan can be contacted via phone (917) 780-5300.

Contact Information

Primary practice address
251 5Th Ave Fl 7 New York NY 10016-6515
Phone: (917) 780-5300
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 2081S0010X 269706 New York
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 269706 New York

Profile Details

NPI number 1871868489
LBN Legal business name Kingsbury, Dallas Jordan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 14th, 2012
Last updated Feb 4th, 2024 - about last year

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.

Request for update

Popular Providers