Provider Demographics
NPI:1538769963
Name:GILDIN, JANIS (CPM)
Entity type:Individual
Prefix:MS
First Name:JANIS
Middle Name:
Last Name:GILDIN
Suffix:
Gender:F
Credentials:CPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:177 FURNACE DOCK RD
Mailing Address - Street 2:
Mailing Address - City:CORTLANDT MANOR
Mailing Address - State:NY
Mailing Address - Zip Code:10567-6533
Mailing Address - Country:US
Mailing Address - Phone:914-329-5963
Mailing Address - Fax:914-739-4605
Practice Address - Street 1:177 FURNACE DOCK RD
Practice Address - Street 2:
Practice Address - City:CORTLANDT MANOR
Practice Address - State:NY
Practice Address - Zip Code:10567-6533
Practice Address - Country:US
Practice Address - Phone:914-329-5963
Practice Address - Fax:914-739-4605
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-26
Last Update Date:2020-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MW00003200176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife