| Doctor Name: | MS. JANICE FLEISCHMAN EATON |
| NPI Number: | 1003060229 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ANP-C |
| License Number: | F304898-1 |
| Business Practice Address: | 23 Old Post Road East Port Jefferson, NY - 117771957 |
| Business Phone Number: | 6319287999 |
| Business Fax Number: | |
| Mailing Address: | 23 Old Post Road East, PORT JEFFERSON |
| State: | NY |
| Postal Code: | 117771957 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 11/14/2008 |
| NPI Last Update Date: | 10/01/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | F304898-1 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |