NPI 1003261116
Jordan Peixoto
Practice location
- Address
- 445 Meadow Rd, Kings Park, NY 11754-5007
- Phone
- (631) 827-1948
Registered specialties
Case Manager/Care Coordinator
Primary
Registry record
- NPI
- 1003261116
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 26 Apr 2016
- Record last updated
- 26 Apr 2016
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.