Provider Demographics
NPI:1598100521
Name:JANKOWSKI, DAN
Entity Type:Individual
Prefix:MR
First Name:DAN
Middle Name:
Last Name:JANKOWSKI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:285 PROSPECT PL
Mailing Address - Street 2:3E
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11238-3941
Mailing Address - Country:US
Mailing Address - Phone:914-475-8747
Mailing Address - Fax:
Practice Address - Street 1:285 PROSPECT PL
Practice Address - Street 2:3E
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11238-3941
Practice Address - Country:US
Practice Address - Phone:914-475-8747
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-03
Last Update Date:2013-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist