Individual
JANINE KOEHLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
50 WHEELER RD, CENTRAL ISLIP, NY 11722-2154
(631) 348-5000
(631) 348-4433
Mailing address
234 WENSLEY LN, EAST ISLIP, NY 11730-3516
(631) 872-7234
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
526869-01
NY
Other
Enumeration date
04/09/2024
Last updated
04/09/2024
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