Provider Demographics
NPI:1275015646
Name:KURBS, JORDAN ADAM (DC)
Entity Type:Individual
Prefix:DR
First Name:JORDAN
Middle Name:ADAM
Last Name:KURBS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 HOOK PL
Mailing Address - Street 2:
Mailing Address - City:ITHACA
Mailing Address - State:NY
Mailing Address - Zip Code:14850-3120
Mailing Address - Country:US
Mailing Address - Phone:716-622-1265
Mailing Address - Fax:
Practice Address - Street 1:2415 N TRIPHAMMER RD
Practice Address - Street 2:
Practice Address - City:ITHACA
Practice Address - State:NY
Practice Address - Zip Code:14850-1093
Practice Address - Country:US
Practice Address - Phone:607-257-9355
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-09-03
Last Update Date:2021-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX013096111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor