Healthcare Provider Details

I. General information

NPI: 1427461656
Provider Name (Legal Business Name): JANET URBANEK NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/05/2014
Last Update Date: 07/22/2023
Certification Date: 08/12/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 RED CREEK DR STE 100
ROCHESTER NY
14623-4300
US

IV. Provider business mailing address

601 ELMWOOD AVE BOX 679-B
ROCHESTER NY
14642-0001
US

V. Phone/Fax

Practice location:
  • Phone: 855-341-6780
  • Fax:
Mailing address:
  • Phone: 855-341-6780
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number642747-1
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number310781
License Number StateNY
# 3
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number310781
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: