Individual
JANET LYNN COLLESANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
95 GRASSLANDS RD, VALHALLA, NY 10595
(914) 493-7000
(914) 493-7483
Mailing address
10 MILLPOND LANE, HOLMES, NY 12531-4601
(845) 878-7205
(845) 878-7205
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F3320811
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01918010
—
NY
Enumeration date
07/13/2007
Last updated
07/13/2007
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