MEDICARE: MS. JANICE HELENE HNATH LCAT

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	101Y00000X	Counselor	000239	NY

General Provider Information

NPI Number	:	1164622171
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. JANICE HELENE HNATH LCAT

Provider Business Mailing Address
First Line	:	29 AUTUMN DR
Second Line	:
City	:	EAST NORTHPORT
State	:	NY
Zip	:	11731-2601
Country	:	US
Telephone Number	:	631-757-4473
Fax Number	:

Provider Business Practice Location Address
First Line	:	1529 149TH ST
Second Line	:
City	:	WHITESTONE
State	:	NY
Zip	:	11357-2550
Country	:	US
Telephone Number	:	718-224-3947
Fax Number	:

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

Provider Enumeration Date	:	07/19/2007
Last Update Date	:	07/19/2007

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