Provider Demographics
NPI:1902032113
Name:MIGLINO, JANINE (RN, CPNP)
Entity Type:Individual
Prefix:MRS
First Name:JANINE
Middle Name:
Last Name:MIGLINO
Suffix:
Gender:F
Credentials:RN, CPNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 LAGOON BLVD
Mailing Address - Street 2:
Mailing Address - City:MASSAPEQUA
Mailing Address - State:NY
Mailing Address - Zip Code:11758-8042
Mailing Address - Country:US
Mailing Address - Phone:516-524-6478
Mailing Address - Fax:
Practice Address - Street 1:850 FULTON ST STE 4
Practice Address - Street 2:
Practice Address - City:FARMINGDALE
Practice Address - State:NY
Practice Address - Zip Code:11735-3601
Practice Address - Country:US
Practice Address - Phone:516-454-8525
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-06-02
Last Update Date:2022-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY381891363LP0200X
NYF381891-1363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics