Provider Demographics
NPI:1114904125
Name:STONE, JANET AUDREY (NP, CNM)
Entity Type:Individual
Prefix:MRS
First Name:JANET
Middle Name:AUDREY
Last Name:STONE
Suffix:
Gender:F
Credentials:NP, CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1037 MAIN ST
Mailing Address - Street 2:HUDSON RIVER HEALTHCARE, INC.
Mailing Address - City:PEEKSKILL
Mailing Address - State:NY
Mailing Address - Zip Code:10566-2913
Mailing Address - Country:US
Mailing Address - Phone:631-320-2220
Mailing Address - Fax:631-698-3570
Practice Address - Street 1:82 MIDDLE COUNTRY RD
Practice Address - Street 2:ELSIE OWENS HEALTH CENTER - HRHCARE, INC.
Practice Address - City:CORAM
Practice Address - State:NY
Practice Address - Zip Code:11727-4411
Practice Address - Country:US
Practice Address - Phone:631-320-2220
Practice Address - Fax:631-698-3570
Is Sole Proprietor?:No
Enumeration Date:2005-12-30
Last Update Date:2014-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF330275363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01770263Medicaid