Healthcare Provider Details

I. General information

NPI: 1578648853
Provider Name (Legal Business Name): JANET DRUYAN HERSKOVITS CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/26/2006
Last Update Date: 09/26/2025
Certification Date: 09/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

222 ELM ST
WEST HEMPSTEAD NY
11552-3253
US

IV. Provider business mailing address

14166 73RD TER
FLUSHING NY
11367-2334
US

V. Phone/Fax

Practice location:
  • Phone: 718-544-5294
  • Fax: 718-544-5294
Mailing address:
  • Phone: 718-544-5381
  • Fax: 718-544-5381

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WL0100X
TaxonomyLactation Consultant (Registered Nurse)
License Number270010
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: