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Individual

MS. JANICE FERN BISTRITZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PNP

Contact information

Practice address
16 GUION PLACE, NEW ROCHELLE, NY 10802
(914) 637-1165
(914) 637-1479
Mailing address
14 HARVARD CT, WHITE PLAINS, NY 10605
(914) 682-5263

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
380051
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02040691
NY
Enumeration date
12/01/2006
Last updated
07/08/2007
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