Provider Demographics
NPI:1699267112
Name:MCFADDEN, JANECE B (CASE MANAGER)
Entity type:Individual
Prefix:
First Name:JANECE
Middle Name:B
Last Name:MCFADDEN
Suffix:
Gender:F
Credentials:CASE MANAGER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8328 160TH ST
Mailing Address - Street 2:
Mailing Address - City:JAMAICA
Mailing Address - State:NY
Mailing Address - Zip Code:11432-1632
Mailing Address - Country:US
Mailing Address - Phone:718-480-6968
Mailing Address - Fax:
Practice Address - Street 1:8328 160TH ST
Practice Address - Street 2:
Practice Address - City:JAMAICA
Practice Address - State:NY
Practice Address - Zip Code:11432-1632
Practice Address - Country:US
Practice Address - Phone:718-480-6968
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-05-31
Last Update Date:2018-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator