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Jacqueline Endlich

Specialist in East Meadow, NY. Individual provider (NPI-1).

NPI number1871991968
StatusActive
Last updated in NPPESDec 5, 2014

Details

NPI
1871991968
Entity type
Individual (NPI-1)
Name
Jacqueline Endlich
Sex
Female
Sole proprietor
Yes
Enumeration date
Dec 5, 2014
Last updated
Dec 5, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
174400000X Specialist82844NYYes

Practice location

303 Spruce Ln
East Meadow, NY 11554-2711

Phone 516-567-1911

Mailing address

303 Spruce Ln
East Meadow, NY 11554-2711

Phone 516-567-1911

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