Endryck, Jean

Endryck, Jean is an individual health care provider with primary practice located at 1300 Massachusetts Ave , Troy NY 12180-1628. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Endryck, Jean can be contacted via phone (518) 268-6283.

Contact Information

Primary practice address
1300 Massachusetts Ave Troy NY 12180-1628
Phone: (518) 268-6283
Fax: (518) 268-6285
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 332091 New York

Profile Details

NPI number 1417986514
LBN Legal business name Endryck, Jean
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 1st, 2006
Last updated Apr 17th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417986514 NPPES
New York MEDICAID 01816137

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