Individual
JANICE MOLDASHEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
50 ROUTE 25A, SMITHTOWN, NY 11787-1348
(516) 338-5300
(516) 333-1075
Mailing address
1400 OLD COUNTRY RD, SUITE 305, WESTBURY, NY 11590-5156
(516) 338-5300
(516) 333-1075
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
161069
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01278697
—
NY
Enumeration date
11/13/2006
Last updated
06/11/2008
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