Provider Demographics
NPI:1265783104
Name:TOBIERRE, JANICE ANNEMARIE (MS SBL)
Entity type:Individual
Prefix:
First Name:JANICE
Middle Name:ANNEMARIE
Last Name:TOBIERRE
Suffix:
Gender:F
Credentials:MS SBL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:805 E 38TH ST FL 1
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11210-1941
Mailing Address - Country:US
Mailing Address - Phone:347-365-8123
Mailing Address - Fax:
Practice Address - Street 1:148 E 91ST ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11212-1302
Practice Address - Country:US
Practice Address - Phone:347-715-5763
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-10-01
Last Update Date:2024-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY23989081174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY256998081OtherPREK, K, AND GRADES1-6 TEACHER
NY239489081OtherSPECIALIST
NY293315091OtherSCHOOL BUIDING LEADER