Provider Demographics
NPI:1962655985
Name:JANIS, ROSAMPND (MD)
Entity Type:Individual
Prefix:DR
First Name:ROSAMPND
Middle Name:
Last Name:JANIS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 FLORAL DR
Mailing Address - Street 2:
Mailing Address - City:HASTINGS ON HUDSON
Mailing Address - State:NY
Mailing Address - Zip Code:10706-1202
Mailing Address - Country:US
Mailing Address - Phone:914-478-3330
Mailing Address - Fax:914-479-5224
Practice Address - Street 1:4 FLORAL DR
Practice Address - Street 2:
Practice Address - City:HASTINGS ON HUDSON
Practice Address - State:NY
Practice Address - Zip Code:10706-1202
Practice Address - Country:US
Practice Address - Phone:914-478-3330
Practice Address - Fax:914-479-5224
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-04
Last Update Date:2008-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY078174173000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes173000000XOther Service ProvidersLegal Medicine