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NPI Code Detail

MEDICARE: CAROLINE JANGA DOE FNP-BC

MEDICARE: CAROLINE JANGA DOE FNP-BC
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
1363LF0000XFamily Nurse Practitioner354947NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1558757617
Entity Type Code : Individual
Provider Name (Legal Business Name) : CAROLINE JANGA DOE FNP-BC
Provider Business Mailing Address
First Line : 6 WELLNESS WAY STE 201
Second Line :
City : LATHAM
State : NY
Zip : 12110-2156
Country : US
Telephone Number : 518-782-3700
Fax Number : 518-782-3799
Provider Business Practice Location Address
First Line : 1925 CURRY RD
Second Line :
City : SCHENECTADY
State : NY
Zip : 12303-3939
Country : US
Telephone Number : 518-356-5377
Fax Number : 518-881-1489
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/15/2015
Last Update Date : 03/26/2026

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