Individual
MS. JANELLE LYNN TYCHNOWITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CPN, PNP
Contact information
Practice address
PO BOX 1559, STONY BROOK, NY 11790-0989
(631) 444-0650
Mailing address
PO BOX 1559, STONY BROOK, NY 11790-0989
(631) 444-0650
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
544842-1
NY
363LP0200X
Pediatric Nurse Practitioner
Primary
F382571-1
NY
Other
Enumeration date
09/03/2009
Last updated
03/03/2026
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