Individual
DR. JENNIFER ANNE FENDYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
408 FRANKLIN ST, BUFFALO, NY 14202-1525
(888) 902-9614
Mailing address
266 ELMWOOD AVE, #275, BUFFALO, NY 14222-2202
(888) 902-9614
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
0140091
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00026139501
UNIVERA
—
01
—
000525805004
BLUE CROSS BLUE SHIELD
—
01
—
6110998
INDEPENDENT HEALTH
NY
Enumeration date
10/23/2006
Last updated
12/07/2010
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