Provider Demographics
NPI:1851554984
Name:ROTHSCHILD, JORDANA BETH (MD, MPH)
Entity type:Individual
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First Name:JORDANA
Middle Name:BETH
Last Name:ROTHSCHILD
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Gender:F
Credentials:MD, MPH
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Mailing Address - Street 1:STONY BROOK UNIVERSITY HOSPITAL
Mailing Address - Street 2:PREVENTIVE MEDICINE - HSC L3 086
Mailing Address - City:STONY BROOK
Mailing Address - State:NY
Mailing Address - Zip Code:11794-7148
Mailing Address - Country:US
Mailing Address - Phone:631-444-6250
Mailing Address - Fax:631-444-7525
Practice Address - Street 1:2500 NESCONSET HIGHWAY BLDG 16,C
Practice Address - Street 2:STONY BROOK PREVENTIVE MEDICINE SERVICES
Practice Address - City:STONY BROOK
Practice Address - State:NY
Practice Address - Zip Code:11790-2563
Practice Address - Country:US
Practice Address - Phone:631-444-8822
Practice Address - Fax:631-444-6665
Is Sole Proprietor?:No
Enumeration Date:2008-07-09
Last Update Date:2011-09-09
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Provider Licenses
StateLicense IDTaxonomies
NY2624662083P0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive Medicine