| Edith Jordan, | |
|
1019 E Water St, Elmira, NY 14901-3332 | |
| (607) 733-5696 | |
| (607) 737-1379 |
| Full Name | Edith Jordan |
|---|---|
| Gender | Female |
| Speciality | Counselor |
| Location | 1019 E Water St, Elmira, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619545514 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (New York) | Primary |
| Entity Name | Family Services Of Chemung County Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619922432 PECOS PAC ID: 2365332236 Enrollment ID: O20040316001161 |
| Mailing Address | Practice Location Address |
|---|---|
| Edith Jordan, 1019 E Water St, Elmira, NY 14901-3332 Ph: (607) 733-5696 | Edith Jordan, 1019 E Water St, Elmira, NY 14901-3332 Ph: (607) 733-5696 |
Victoria Lynn Ford, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1019 E Water St, Elmira, NY 14901 Phone: 607-733-5696 | |
Sarah Belle Secor, LMSW Counselor Medicare: Accepting Medicare Assignments Practice Location: 100 North Main Street, Suite 214, Elmira, NY 14901 Phone: 607-737-4040 Fax: 607-734-0774 | |
Barbara Stager, Counselor Medicare: Accepting Medicare Assignments Practice Location: 1019 E Water St, Elmira, NY 14901 Phone: 607-733-5696 | |
Geetha X Louisnathan, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 1019 E Water St, Elmira, NY 14901 Phone: 607-733-5696 | |
Kristen Fields, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1019 E Water St, Elmira, NY 14901 Phone: 607-733-5696 | |
Gina Marie Morse, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1019 E Water St, Elmira, NY 14901 Phone: 607-733-5696 | |
Cynthia Koch, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1019 E Water St, Elmira, NY 14901 Phone: 607-733-5696 |