MEDICARE: JANIS L CUTLER MD

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	2084P0800X	Psychiatry Physician	159469	NY

General Provider Information

NPI Number	:	1669691317
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JANIS L CUTLER MD

Provider Business Mailing Address
First Line	:	340 RIVERSIDE DRIVE
Second Line	:	APT 20
City	:	NEW YORK
State	:	NY
Zip	:	10025
Country	:	US
Telephone Number	:	212-666-9750
Fax Number	:

Provider Business Practice Location Address
First Line	:	156 WEST 86TH ST
Second Line	:	SUITE 1C
City	:	NEW YORK
State	:	NY
Zip	:	10024-4029
Country	:	US
Telephone Number	:	212-362-3261
Fax Number	:	212-543-5356

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

Provider Enumeration Date	:	04/24/2007
Last Update Date	:	07/08/2007

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