Provider Demographics
NPI:1134427032
Name:VANLIEW, JANORA R
Entity type:Individual
Prefix:
First Name:JANORA
Middle Name:R
Last Name:VANLIEW
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1736 STRAIGHT PATH
Mailing Address - Street 2:
Mailing Address - City:WHEATLEY HEIGHTS
Mailing Address - State:NY
Mailing Address - Zip Code:11798-1920
Mailing Address - Country:US
Mailing Address - Phone:631-575-1951
Mailing Address - Fax:
Practice Address - Street 1:1736 STRAIGHT PATH
Practice Address - Street 2:
Practice Address - City:WHEATLEY HEIGHTS
Practice Address - State:NY
Practice Address - Zip Code:11798-1920
Practice Address - Country:US
Practice Address - Phone:631-575-1951
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-02
Last Update Date:2011-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY302344164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse