Most Relevant Information
Provider Data
| NPI Number: | 1003674797 |
| Provider Name: | SAYLEEN JORDAN |
| Entity Type: | Individual |
| Taxonomy Code: | 101YA0400X |
| Specialty: | Counselor |
| License Number: | 36465 |
Most Important Dates
| Enumeration Date: | 03/07/2024 |
| Last Updated: | 03/07/2024 |
Provider Practice Location
139 JOHN ST # R
STATEN ISLAND
NY
103021135
Practice Location Phone/Fax
| Phone: | 3479980292 |
| Fax: |
Provider Mailing Location
139 JOHN ST # R
STATEN ISLAND
NY
103021135
Provider Mailing Phone/Fax
| Phone: | 3479980292 |
| Fax: |