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NPI Code Detail

MEDICARE: CHRISTINE JANIK LMSW

MEDICARE: CHRISTINE JANIK LMSW
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
1104100000XSocial Worker00062214NY

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 : 1649456369
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTINE JANIK LMSW
Provider Business Mailing Address
First Line : 525 WASHINGTON ST
Second Line :
City : BUFFALO
State : NY
Zip : 14203-1711
Country : US
Telephone Number : 716-853-4424
Fax Number : 716-332-2820
Provider Business Practice Location Address
First Line : 1465 PAYNE AVE
Second Line :
City : NORTH TONAWANDA
State : NY
Zip : 14120-2511
Country : US
Telephone Number : 716-694-7749
Fax Number : 716-694-0793
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/11/2008
Last Update Date : 01/11/2008

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Directions to “ CHRISTINE JANIK LMSW” Practice Location

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