| Doctor Name: | MS. JANICE E MCINTYRE |
| NPI Number: | 1366757411 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ANP |
| License Number: | 30-305508 |
| Business Practice Address: | 2 Union Ave Center Moriches, NY - 119343324 |
| Business Phone Number: | 6318780754 |
| Business Fax Number: | |
| Mailing Address: | 3335 Laurel Trail, Po Box 542 LAUREL |
| State: | NY |
| Postal Code: | 11948 |
| Phone Number: | 6312982050 |
| Fax Number: | |
| NPI Enumeration Date: | 08/13/2010 |
| NPI Last Update Date: | 08/13/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | 30-305508 |
| 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: | |