Provider Demographics
NPI:1376606871
Name:BARDINI, JANET L (LAC, DIPLAC)
Entity Type:Individual
Prefix:MS
First Name:JANET
Middle Name:L
Last Name:BARDINI
Suffix:
Gender:F
Credentials:LAC, DIPLAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:629 KAPPOCK ST
Mailing Address - Street 2:#7K
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10463-7705
Mailing Address - Country:US
Mailing Address - Phone:914-536-5801
Mailing Address - Fax:718-543-0940
Practice Address - Street 1:100 ALCOTT PL
Practice Address - Street 2:BUILDING 18 GROUND FLOOR CHIROPRACTIC
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10475-4102
Practice Address - Country:US
Practice Address - Phone:914-536-5801
Practice Address - Fax:718-543-0940
Is Sole Proprietor?:No
Enumeration Date:2006-12-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1970171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist