Provider Demographics
NPI:1356589147
Name:NEUENFELDT, JANEA OLIVEIRA (RPA-C)
Entity type:Individual
Prefix:
First Name:JANEA
Middle Name:OLIVEIRA
Last Name:NEUENFELDT
Suffix:
Gender:F
Credentials:RPA-C
Other - Prefix:
Other - First Name:JANEA
Other - Middle Name:RACHELLE
Other - Last Name:OLIVEIRA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RPA-C
Mailing Address - Street 1:105 E. 37TH ST.
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016
Mailing Address - Country:US
Mailing Address - Phone:212-725-4555
Mailing Address - Fax:212-725-1946
Practice Address - Street 1:105 E. 37TH ST.
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016
Practice Address - Country:US
Practice Address - Phone:212-725-4555
Practice Address - Fax:212-725-1946
Is Sole Proprietor?:No
Enumeration Date:2009-02-02
Last Update Date:2009-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY012028363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical