Individual
JANA MARIE DOSZTAN-REISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
4800 BEAR RD, LIVERPOOL, NY 13088-4604
(315) 391-6645
Mailing address
PO BOX 152, SKANEATELES, NY 13152-0152
(315) 391-6645
(866) 581-2235
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F302363
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F302363-1
LICENSE
NY
Enumeration date
01/05/2007
Last updated
07/21/2022
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