MEDICARE: MS. JANET DRUYAN HERSKOVITS CNM

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	163WL0100X	Lactation Consultant (Registered Nurse)	270010	NY

General Provider Information

NPI Number	:	1578648853
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. JANET DRUYAN HERSKOVITS CNM

Provider Business Mailing Address
First Line	:	14166 73RD TER
Second Line	:
City	:	FLUSHING
State	:	NY
Zip	:	11367-2334
Country	:	US
Telephone Number	:	718-544-5381
Fax Number	:	718-544-5381

Provider Business Practice Location Address
First Line	:	222 ELM ST
Second Line	:
City	:	WEST HEMPSTEAD
State	:	NY
Zip	:	11552-3253
Country	:	US
Telephone Number	:	718-544-5294
Fax Number	:	718-544-5294

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

Provider Enumeration Date	:	10/26/2006
Last Update Date	:	09/26/2025

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