| Doctor Name: | JANICE HUTTA COGAR |
| NPI Number: | 1235575564 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | R.N. |
| License Number: | 241583-1 |
| Business Practice Address: | 136 Broadway Ste 3 Saranac Lake, NY - 129831404 |
| Business Phone Number: | 5188914471 |
| Business Fax Number: | 5188917238 |
| Mailing Address: | 136 Broadway Ste 3, SARANAC LAKE |
| State: | NY |
| Postal Code: | 129831404 |
| Phone Number: | 5188914471 |
| Fax Number: | 5188917238 |
| NPI Enumeration Date: | 05/14/2013 |
| NPI Last Update Date: | 05/14/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WC1500X |
| License Number: | 241583-1 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Community Health |
| Taxonomy Definition: | |