Provider Demographics
NPI:1720531213
Name:DR. JANA PREIS MEDICAL OFFICE, PC
Entity Type:Organization
Organization Name:DR. JANA PREIS MEDICAL OFFICE, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:JANA
Authorized Official - Middle Name:
Authorized Official - Last Name:PREIS
Authorized Official - Suffix:
Authorized Official - Credentials:MD, MPH
Authorized Official - Phone:646-568-0717
Mailing Address - Street 1:10311 68TH DR
Mailing Address - Street 2:
Mailing Address - City:FOREST HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11375-3159
Mailing Address - Country:US
Mailing Address - Phone:646-568-0717
Mailing Address - Fax:718-459-0910
Practice Address - Street 1:10311 68TH DR
Practice Address - Street 2:
Practice Address - City:FOREST HILLS
Practice Address - State:NY
Practice Address - Zip Code:11375-3159
Practice Address - Country:US
Practice Address - Phone:646-568-0717
Practice Address - Fax:718-459-0910
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-01
Last Update Date:2016-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious DiseaseGroup - Single Specialty