Provider Demographics
NPI:1164798815
Name:PLATT, JORDANNA HADAS
Entity Type:Individual
Prefix:
First Name:JORDANNA
Middle Name:HADAS
Last Name:PLATT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1945 EASTCHESTER RD
Mailing Address - Street 2:APT 6A
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10461-2105
Mailing Address - Country:US
Mailing Address - Phone:917-593-7387
Mailing Address - Fax:
Practice Address - Street 1:1945 EASTCHESTER RD
Practice Address - Street 2:APT 6A
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10461-2105
Practice Address - Country:US
Practice Address - Phone:917-593-7387
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-03-27
Last Update Date:2012-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program