Provider Demographics
NPI:1871957498
Name:FUCHS, JANICE (MSPT)
Entity type:Individual
Prefix:
First Name:JANICE
Middle Name:
Last Name:FUCHS
Suffix:
Gender:F
Credentials:MSPT
Other - Prefix:
Other - First Name:JANICE
Other - Middle Name:
Other - Last Name:RUIZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSPT
Mailing Address - Street 1:1768 ALBERMARLE AVE
Mailing Address - Street 2:
Mailing Address - City:EAST MEADOW
Mailing Address - State:NY
Mailing Address - Zip Code:11554-1616
Mailing Address - Country:US
Mailing Address - Phone:516-317-0491
Mailing Address - Fax:
Practice Address - Street 1:1768 ALBERMARLE AVE
Practice Address - Street 2:
Practice Address - City:EAST MEADOW
Practice Address - State:NY
Practice Address - Zip Code:11554-1616
Practice Address - Country:US
Practice Address - Phone:516-317-0491
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-04-09
Last Update Date:2016-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY022258225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist