Individual
LINDA JANENKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
314 S MANNING BLVD, ALBANY, NY 12208-1708
(518) 453-2273
Mailing address
314 S MANNING BLVD, ALBANY, NY 12208-1708
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
018264
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00018264
—
NY
Enumeration date
06/26/2006
Last updated
04/26/2016
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