Individual
MRS. JENNIFER MARIE ENDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGPCNP-BC
Contact information
Practice address
901 STEWART AVE, GARDEN CITY, NY 11530-4893
(516) 877-1518
Mailing address
77 W 2ND ST, FREEPORT, NY 11520-5720
(516) 867-4545
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F307526-1
NY
Other
Enumeration date
12/16/2015
Last updated
08/10/2022
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