Healthcare Provider Details

I. General information

NPI: 1679660385
Provider Name (Legal Business Name): JANICE SCIBA NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/06/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

900 WASHINGTON RD CREDENTIALS OFFICE, KELLER ARMY COMMUNITY HOSPITAL
WEST POINT NY
10996-1109
US

IV. Provider business mailing address

15 TACONIC DR
HOPEWELL JUNCTION NY
12533-6328
US

V. Phone/Fax

Practice location:
  • Phone: 845-938-6267
  • Fax: 845-938-2306
Mailing address:
  • Phone: 845-227-7993
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number303976
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: