Organization
JANA DOSZTAN-REISS, INC.
Active
Organization
JANA DOSZTAN-REISS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL MOGREN (PRACTICE ADMINISTRATOR)
(315) 391-6645
Entity
Organization
Contact information
Practice address
4800 BEAR RD, LIVERPOOL, NY 13088-4604
(315) 457-9946
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
F302363-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03171840
—
NY
Enumeration date
07/17/2017
Last updated
07/17/2017
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