Individual
DR. JANICE M PAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1368 CLOVE RD, STATEN ISLAND, NY 10301-4303
(718) 447-1183
(718) 447-7252
Mailing address
1368 CLOVE RD, STATEN ISLAND, NY 10301-4303
(718) 447-1183
(718) 447-7252
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
216379
NY
208VP0014X
Interventional Pain Medicine Physician
Primary
216379
NY
Other
Enumeration date
04/07/2006
Last updated
07/28/2007
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