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Individual

HENRY HERMAN JANSSEN JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
90 S BEDFORD RD, MOUNT KISCO, NY 10549-3412
(914) 241-1050
Mailing address
110 S BEDFORD RD, MOUNT KISCO, NY 10549-3446
(914) 241-1050

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
037751
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001377515
CT
01
010037751CT06
ANTHEM BC/BS
CT
01
010037751CT07
ANTHEM BC/BS
CT
01
010037751CT10
ANTHEM BC/BS
CT
01
010037751CT12
ANTHEM BC/BS
CT
01
010037751CT14
ANTHEM BC/BS
CT
01
300128159
RAILROAD MEDICARE
CT
01
300128163
RAILROAD MEDICARE
CT
01
300128165
RAILROAD MEDICARE
CT
01
P00124616
RAILROAD MEDICARE
CT
Enumeration date
03/25/2006
Last updated
12/13/2017
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