Provider Demographics
NPI:1467503698
Name:NORTON, JANET E (MD,FACS)
Entity Type:Individual
Prefix:
First Name:JANET
Middle Name:E
Last Name:NORTON
Suffix:
Gender:F
Credentials:MD,FACS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1629 VICTORY BLVD
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10314-3505
Mailing Address - Country:US
Mailing Address - Phone:718-727-9125
Mailing Address - Fax:718-727-9149
Practice Address - Street 1:1629 VICTORY BLVD
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10314-3505
Practice Address - Country:US
Practice Address - Phone:718-727-9125
Practice Address - Fax:718-727-9149
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY169215174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYF 20924Medicare UPIN