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Individual

JANET BRANDT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
69 TOWNSEND CT, FRANKLIN PARK, NJ 08823-1522
(914) 302-7531
Mailing address
4 LILY CT, YORKTOWN HEIGHTS, NY 10598-2533
(914) 302-7531

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
473801
NY
363LF0000X
Family Nurse Practitioner
Primary
26NJ00375400
NJ
363LF0000X
Family Nurse Practitioner
F332787
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00547351
MEDICAID GROUP NUMBER
NY
01
CA0060
RAILROAD MEDICARE GRP NUM
NY
01
W06761
MEDICARE GROUP NUMBER
NY
Enumeration date
02/05/2008
Last updated
06/25/2012
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