# PATRICIA R JANSON NP PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417636002
- **Authorized official:** PATRICIA JANSON (OWNER)
- **Authorized official phone:** (917) 224-2204

## Contact information

- **Practice address:** 100 MANETTO HILL RD STE 307, PLAINVIEW, NY 11803-1311
- **Practice address phone:** (917) 224-2204
- **Practice address fax:** (646) 219-4358
- **Mailing address:** 100 MANETTO HILL RD STE 307, PLAINVIEW, NY 11803-1311
- **Mailing address phone:** (917) 224-2204
- **Mailing address fax:** (646) 219-4358

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 07/12/2023
- **Last updated:** 07/12/2023