# MISS JANINE MARY MANSUKHANI

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1093957813
- **Gender:** F

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | 013151 | NY | — |
| 363A00000X | Physician Assistant | 25MP00653600 | NJ | Yes |

## Other

- **Enumeration date:** 03/25/2009
- **Last updated:** 04/08/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0893552 | — | NJ |