MEDICARE: MS. JANELLE LYNN TYCHNOWITZ RN, CPN, PNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0200X	Pediatric Nurse Practitioner	F382571-1	NY
2	163WP0200X	Pediatric Registered Nurse	544842-1	NY

General Provider Information

NPI Number	:	1184857336
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. JANELLE LYNN TYCHNOWITZ RN, CPN, PNP

Provider Business Mailing Address
First Line	:	PO BOX 1559
Second Line	:
City	:	STONY BROOK
State	:	NY
Zip	:	11790-0989
Country	:	US
Telephone Number	:	631-444-0650
Fax Number	:

Provider Business Practice Location Address
First Line	:	PO BOX 1559
Second Line	:
City	:	STONY BROOK
State	:	NY
Zip	:	11790-0989
Country	:	US
Telephone Number	:	631-444-0650
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/03/2009
Last Update Date	:	03/03/2026

Similar Medicare Providers

1609913979 — DR. KINGA A POWERS M.D.
Practice Location Address:

SBUMC , HSC LEVEL 19, RM.053
STONY BROOK, NY
11790-0989

Practice Phone: 631-638-0055
Practice Fax: 631-638-0050

1467683698 — DR. MELISSA TUOMI PSY.D.
Practice Location Address:

PO BOX 1559
STONY BROOK, NY
11790-0989

Practice Phone: 631-444-0580
Practice Fax:

1376858993 — DR. STACY MARIE EAGLE M.D.
Practice Location Address:

101 NICOLLS ROAD , DEPARTMENT OF PSYCHIATRY HSC, T-10-020
STONY BROOK, NY
11790-0989

Practice Phone: 631-444-0650
Practice Fax:

1669734133 — DR. WILFRED HENRY FARQUHARSON IV PH.D.
Practice Location Address:

PUTNAM HALL SOUTH CAMPUS
STONY BROOK, NY
11790-0989

Practice Phone: 631-632-8850
Practice Fax:

1811132897 — DR. VAHE S TATEOSIAN M.D.
Practice Location Address:

HEALTH SCIENCES CENTER L4 060
STONY BROOK, NY
11794-0989

Practice Phone: 631-444-2976
Practice Fax:

1528202835 — STEVEN J WEISSBART
Practice Location Address:

STONY BROOK DEPARTMENT OF UROLOGY HSC 9
STONY BROOK, NY
11794-0989

Practice Phone: 631-444-6270
Practice Fax:

Directions to “ MS. JANELLE LYNN TYCHNOWITZ RN, CPN, PNP” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.