JEAN ENDRYCK NP NPI 1417986514

NPI Information

NPI: 1417986514
Provider Name: JEAN ENDRYCK, NP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
1300 MASSACHUSETTS AVE
TROY, NY
ZIP 12180
Phone: (518) 268-6283
Get Directions

Jean Endryck, NP is a family nurse practitioner in Troy, NY. Jean Endryck, NP NPI is 1417986514. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1300 MASSACHUSETTS AVE
TROY, NY
ZIP 12180-628
Phone: (518) 268-6283
Fax: (518) 268-6285

The enumeration date for this NPI number is 7/1/2006 and was last updated on 4/17/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	332091	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	S53282	MEDICARE UPIN
2	01816137	MEDICAID	NEW YORK
3	BB0497	MEDICARE ID-TYPE UNSPECIFIED
4	BB0497	MEDICARE PIN	NEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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