Provider Demographics
NPI:1427323468
Name:JANKOWSKI, GLORIA (RN)
Entity type:Individual
Prefix:MS
First Name:GLORIA
Middle Name:
Last Name:JANKOWSKI
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:544 7TH AVE
Mailing Address - Street 2:P53@MS88
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11215-6140
Mailing Address - Country:US
Mailing Address - Phone:718-832-3563
Mailing Address - Fax:718-965-1734
Practice Address - Street 1:544 7TH AVE
Practice Address - Street 2:P53@MS88
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11215-6140
Practice Address - Country:US
Practice Address - Phone:718-832-3563
Practice Address - Fax:718-965-1734
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-08
Last Update Date:2012-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY466204163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool