Provider Demographics
NPI:1225826456
Name:JANASIEWICZ, JOYCE (RN)
Entity type:Individual
Prefix:MRS
First Name:JOYCE
Middle Name:
Last Name:JANASIEWICZ
Suffix:
Gender:
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:767 NEIGHBORHOOD RD
Mailing Address - Street 2:
Mailing Address - City:LAKE KATRINE
Mailing Address - State:NY
Mailing Address - Zip Code:12449-5337
Mailing Address - Country:US
Mailing Address - Phone:845-943-3332
Mailing Address - Fax:845-943-3261
Practice Address - Street 1:767 NEIGHBORHOOD RD
Practice Address - Street 2:
Practice Address - City:LAKE KATRINE
Practice Address - State:NY
Practice Address - Zip Code:12449-5337
Practice Address - Country:US
Practice Address - Phone:845-943-3332
Practice Address - Fax:845-943-3261
Is Sole Proprietor?:No
Enumeration Date:2025-04-28
Last Update Date:2025-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY568241-01163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool