| Organization Name: | JANIS L. ENZENBACHER,MD,PLLC |
| NPI Number: | 1750545885 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JANIS LYNN ENZENBACHER (OWNER) |
| Mailing Address: | 105 Shad Row Suite 1b Piermont |
| State: | NY US |
| Postal Code: | 109683001 |
| Phone Number: | 8456806600 |
| Fax Number: | 8456802450 |
| NPI Enumeration Date: | 07/17/2008 |
| NPI Last Update Date: | 06/02/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207VG0400X |
| License Number: | 162853 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Obstetrics & Gynecology |
| Taxonomy Specialization: | Gynecology |
| Taxonomy Definition: | |