Cristobal, Janice C

Cristobal, Janice C is an individual health care provider with primary practice located at 301 E Main St , Bay Shore NY 11706-8408. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Cristobal, Janice C can be contacted via phone (631) 968-3295.

Contact Information

Primary practice address
301 E Main St Bay Shore NY 11706-8408
Phone: (631) 968-3295
Fax: (631) 968-4241
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 279174 New York
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD454963 Pennsylvania

Profile Details

NPI number 1306122296
LBN Legal business name Cristobal, Janice C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 24th, 2011
Last updated Jul 2nd, 2015 - about 11 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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