# JANA DOSZTAN-REISS, INC.

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

## Provider details

- **NPI number:** 1962925495
- **Authorized official:** PAUL MOGREN (PRACTICE ADMINISTRATOR)
- **Authorized official phone:** (315) 391-6645

## Contact information

- **Practice address:** 4800 BEAR RD, LIVERPOOL, NY 13088-4604
- **Practice address phone:** (315) 457-9946
- **Mailing address:** PO BOX 152, SKANEATELES, NY 13152-0152
- **Mailing address phone:** (315) 391-6645
- **Mailing address fax:** (866) 581-2235

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LA2200X | Adult Health Nurse Practitioner | F302363-1 | NY | Yes |

## Other

- **Enumeration date:** 07/17/2017
- **Last updated:** 07/17/2017