Provider Demographics
NPI:1871593590
Name:KASE, JORDAN S (MD)
Entity type:Individual
Prefix:DR
First Name:JORDAN
Middle Name:S
Last Name:KASE
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:100 WOODS RD
Mailing Address - Street 2:WESTCHESTER MEDICAL CENTER
Mailing Address - City:VALHALLA
Mailing Address - State:NY
Mailing Address - Zip Code:10595-1530
Mailing Address - Country:US
Mailing Address - Phone:914-493-8558
Mailing Address - Fax:914-493-1488
Practice Address - Street 1:100 WOODS RD
Practice Address - Street 2:WESTCHESTER MEDICAL CENTER
Practice Address - City:VALHALLA
Practice Address - State:NY
Practice Address - Zip Code:10595-1530
Practice Address - Country:US
Practice Address - Phone:914-493-8558
Practice Address - Fax:914-493-1488
Is Sole Proprietor?:No
Enumeration Date:2005-07-22
Last Update Date:2015-01-22
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Provider Licenses
StateLicense IDTaxonomies
NY2193162080N0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080N0001XAllopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYJ400021246OtherMEDICARE PTAN
NY02622631Medicaid
NYA400021237OtherMEDICARE PTAN