Individual
MS. JANICE E MCINTYRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
2 UNION AVE, CENTER MORICHES, NY 11934-3324
(631) 878-0754
Mailing address
3335 LAUREL TRAIL, PO BOX 542, LAUREL, NY 11948
(631) 298-2050
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
30-305508
NY
Other
Enumeration date
08/13/2010
Last updated
08/13/2010
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