JANA DOSZTAN-REISS INC. NPI 1962925495

NPI Information

NPI: 1962925495
Provider Name: JANA DOSZTAN-REISS, INC.
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Organization

Specialization: Adult Health

Address:
4800 BEAR RD
LIVERPOOL, NY
ZIP 13088
Phone: (315) 457-9946
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JANA DOSZTAN-REISS, INC. is an adult health nurse practitioner in Liverpool, NY. JANA DOSZTAN-REISS, INC. NPI is 1962925495. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4800 BEAR RD
LIVERPOOL, NY
ZIP 13088-604
Phone: (315) 457-9946

The provider's authorized official is Paul Mogren .
The authorized official title is Practice Administrator and has the following contact phone number (315) 391-6645.

The enumeration date for this NPI number is 7/17/2017 and was last updated on 7/17/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LA2200X	Nurse Practitioner	Adult Health	F302363-1	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	03171840	MEDICAID	NEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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