Individual
DR. JANICE C CRISTOBAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
301 E MAIN ST, BAY SHORE, NY 11706-8408
(631) 968-3295
(631) 968-4241
Mailing address
301 E MAIN ST, BAY SHORE, NY 11706-8408
(631) 968-3295
(631) 968-4241
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
279174
NY
207Q00000X
Family Medicine Physician
MD454963
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/24/2011
Last updated
07/02/2015
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