Provider Demographics
NPI:1174824403
Name:MESSINA, JANETTE DOLIENTE (RN)
Entity Type:Individual
Prefix:MS
First Name:JANETTE
Middle Name:DOLIENTE
Last Name:MESSINA
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:JANETTE
Other - Middle Name:DOLIENTE
Other - Last Name:GABONA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BSBA
Mailing Address - Street 1:8 SHEILA CT
Mailing Address - Street 2:
Mailing Address - City:MANORVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:11949-2540
Mailing Address - Country:US
Mailing Address - Phone:631-909-2455
Mailing Address - Fax:631-909-2455
Practice Address - Street 1:8 SHEILA CT
Practice Address - Street 2:
Practice Address - City:MANORVILLE
Practice Address - State:NY
Practice Address - Zip Code:11949-2540
Practice Address - Country:US
Practice Address - Phone:631-909-2455
Practice Address - Fax:631-909-2455
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-03
Last Update Date:2010-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY633773163W00000X, 163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No163WH0200XNursing Service ProvidersRegistered NurseHome Health