Provider Demographics
NPI:1831451301
Name:JANAS, DARLENE N (MED)
Entity type:Individual
Prefix:
First Name:DARLENE
Middle Name:N
Last Name:JANAS
Suffix:
Gender:F
Credentials:MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:345 WEBSTER AVE APT 3G
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11230-1427
Mailing Address - Country:US
Mailing Address - Phone:718-851-8763
Mailing Address - Fax:
Practice Address - Street 1:345 WEBSTER AVE APT 3G
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11230-1427
Practice Address - Country:US
Practice Address - Phone:718-851-8763
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-11
Last Update Date:2012-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist