National Provider Identifier
Janet Marie Shortall
Janet Marie Shortall is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program in Ithaca, NY and a listed phone number of (607) 260-3100.
Profile Overview
- NPI
- 1568159705
- Provider Type
- Individual
- Primary Specialty
- Student in an Organized Health Care Education/Training Program
- Enumeration Date
- April 19, 2023
- Last Updated
- January 15, 2025
Practice Location
- 950 Danby RD Ste 202F
- Ithaca, NY 14850-5714
Phone: (607) 260-3100
Specialties
- Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
- NPI
- 1568159705
- Entity Type
- Individual
- Last Name
- Shortall
- First Name
- Janet
- Middle Name
- Marie
- Mailing Street Address
- 950 Danby RD Ste 202F
- Mailing City
- Ithaca
- Mailing State
- NY
- Mailing ZIP Code
- 14850-5714
- Mailing Country
- US
- Mailing Phone
- (607) 260-3100
- Mailing Fax
- (607) 241-9972
- Practice Street Address
- 950 Danby RD Ste 202F
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-5714
- Practice Country
- US
- Practice Phone
- (607) 260-3100
- Practice Fax
- (607) 241-9972
- Enumeration Date
- April 19, 2023
- Last Updated
- January 15, 2025
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- January 15, 2025
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Student in an Organized Health Care Education/Training Program (390200000X)