Individual
DR. DANA I. JANDZINSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3623 LATROBE DR STE 216, CHARLOTTE, NC 28211-2117
(704) 332-1291
(704) 332-5206
Mailing address
PO BOX 221249, CHARLOTTE, NC 28222-1249
(704) 332-1291
(704) 926-1832
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
2024-03648
NC
2085R0202X
Diagnostic Radiology Physician
236988
NY
2085R0202X
Diagnostic Radiology Physician
81541
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00027790001
UNIVERA HEALTHCARE
NY
01
—
000930199002
BCBS
NY
05
—
02775253
—
NY
01
—
061024000039
FIDELIS CARE OF NY
NY
01
—
1609206
INDEPENDENT HEALTH
NY
01
—
187540FF
PREFERRED CARE
NY
01
—
P00658341
RR MEDICARE
NY
Enumeration date
08/17/2006
Last updated
02/24/2025
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