Provider Demographics
NPI:1164205290
Name:FRIJIA, JANINE I
Entity Type:Individual
Prefix:
First Name:JANINE
Middle Name:I
Last Name:FRIJIA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:JANINE
Other - Middle Name:I
Other - Last Name:HAMILTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:94 FRANKHAUSER RD
Mailing Address - Street 2:
Mailing Address - City:AMHERST
Mailing Address - State:NY
Mailing Address - Zip Code:14221-4335
Mailing Address - Country:US
Mailing Address - Phone:602-910-1132
Mailing Address - Fax:
Practice Address - Street 1:94 FRANKHAUSER RD
Practice Address - Street 2:
Practice Address - City:AMHERST
Practice Address - State:NY
Practice Address - Zip Code:14221-4335
Practice Address - Country:US
Practice Address - Phone:602-910-1132
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-14
Last Update Date:2023-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY560876163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse