Individual ProviderJordan David WolfheimerStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice AddressOne Gustave L. Levy Place, Department Of Medicine Box #1118, New York, NY 10029(212) 241-6500PECOS EnrollmentBased on the most recent information from CMS, provider Jordan David Wolfheimer does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 5 days ago.Profile DetailsProvider ID1407559412Provider TypeIndividualFull NameWolfheimer, Jordan DavidGenderMaleSole ProprietorNoEnumeration Date3/27/2023Last Updated8/26/2023Contact InformationPractice LocationPractice AddressOne Gustave L. Levy Place, Department Of Medicine Box #1118, New York, NY 10029Phone(212) 241-6500FaxUnlisted FaxMailing LocationMailing AddressOne Gustave L. Levy Place, Department Of Medicine Box #1118, New York, NY 10029PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer