Provider Demographics
NPI:1407187370
Name:DRUCKER, JANICE JEAN (MD)
Entity type:Individual
Prefix:DR
First Name:JANICE
Middle Name:JEAN
Last Name:DRUCKER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:315 COLLEGE RD
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10471-3001
Mailing Address - Country:US
Mailing Address - Phone:718-884-0466
Mailing Address - Fax:718-884-0466
Practice Address - Street 1:315 COLLEGE RD
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10471-3001
Practice Address - Country:US
Practice Address - Phone:718-884-0466
Practice Address - Fax:718-884-0466
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-16
Last Update Date:2010-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY60091045102L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes102L00000XBehavioral Health & Social Service ProvidersPsychoanalyst