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Contact Information

JORDYN S AXELROD, NP
4901 LAC DE VILLE BLVD BLDG D
ROCHESTER, NY14618-5647
 Phone: 585-406-0267
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
 

Orthopedic

163WX0800X
Indicates primary specialty

NPI Profile & details for JORDYN S AXELROD · (Female)

NPI # 1619656691
Status Active
Credentials NP (Nurse Practitioner)
Entity Individual
Enumeration date 07/17/2023
Last updated 02/09/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 352760
  • NY License # 764789
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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