Individual
JANINE II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
169 RIVERSIDE DR, BINGHAMTON, NY 13905-4246
(607) 798-5017
Mailing address
169 RIVERSIDE DR, BINGHAMTON, NY 13905-4246
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
339231
NY
Other
Enumeration date
10/09/2014
Last updated
10/09/2014
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