Individual
SUSAN JANKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2201 HEMPSTEAD TPKE, NASSAU UNIVERSITY MEDICAL CENTER, EAST MEADOW, NY 11554-1859
(516) 572-6804
Mailing address
11781 LEE JACKSON HWY, SUITE 550, FAIRFAX, VA 22033-3309
(571) 777-5173
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
355530
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
355530
LICENSE NUMBER
NY
Enumeration date
11/13/2006
Last updated
08/27/2015
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