Individual
MISS JANINE MARY MANSUKHANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
350 ENGLE ST FL 5, ENGLEWOOD, NJ 07631-1808
(201) 894-3636
Mailing address
40 CONCORD LN, STATEN ISLAND, NY 10304-1343
(646) 823-4212
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
013151
NY
363A00000X
Physician Assistant
Primary
25MP00653600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0893552
—
NJ
Enumeration date
03/25/2009
Last updated
04/08/2024
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