Organization
JANSEN MEDICAL SERVICES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DERIK K KING MD (AUTHORIZED OFFICIAL)
(800) 893-9698
Entity
Organization
Contact information
Practice address
255 LAFAYETTE AVE, SUFFERN, NY 10901-4812
(845) 368-5000
Mailing address
200 CORPORATE BLVD, LAFAYETTE, LA 70508-3870
(337) 609-2768
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
02/15/2021
Last updated
02/15/2021
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