Bistritz, Janice Fern

Bistritz, Janice Fern is an individual health care provider with primary practice located at 16 Guion Place , New Rochelle NY 10802. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Bistritz, Janice Fern can be contacted via phone (914) 637-1165.

Contact Information

Primary practice address
16 Guion Place New Rochelle NY 10802
Fax: (914) 637-1479
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 380051 New York

Profile Details

NPI number 1619045408
LBN Legal business name Bistritz, Janice Fern
Credentials Pediatric Nurse Practitioner (PNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 1st, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619045408 NPPES
New York MEDICAID 02040691

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