MEDICARE: MS. GLORIA JANKOWSKI R.N.

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	163WS0200X	School Registered Nurse	466204	NY

General Provider Information

NPI Number	:	1427323468
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. GLORIA JANKOWSKI R.N.

Provider Business Mailing Address
First Line	:	544 7TH AVE
Second Line	:	P53@MS88
City	:	BROOKLYN
State	:	NY
Zip	:	11215-6140
Country	:	US
Telephone Number	:	718-832-3563
Fax Number	:	718-965-1734

Provider Business Practice Location Address
First Line	:	544 7TH AVE
Second Line	:	P53@MS88
City	:	BROOKLYN
State	:	NY
Zip	:	11215-6140
Country	:	US
Telephone Number	:	718-832-3563
Fax Number	:	718-965-1734

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

Provider Enumeration Date	:	03/08/2012
Last Update Date	:	03/08/2012

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