Jo-Ellen Estabrook-Pollack, RN

Individual provider Active NPI School Registered Nurse · Valatie, NY

NPI 1104195189 · NPPES record last updated Dec 21, 2011

Key facts

NPI
1104195189
Entity type
Individual (NPI type 1)
Primary specialty
School Registered Nurse 163WS0200X
License
2871441 (NY)
Practice address
2910 Route 9
PO 820
Valatie, NY 12184
Phone
(518) 758-7676
Fax
(518) 758-1405
NPI assigned
Dec 21, 2011
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
2871441NYMDSchool Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Kinderhook Central School District Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
School Registered Nurse 163WS0200X 2871441 NY Yes

Addresses

Primary practice location

2910 Route 9
PO 820
Valatie, NY 12184

Mailing address

Route 9 2910
Valatie, NY 12184
Phone (518) 758-7676

Other providers in Valatie, NY

All providers in Valatie, NY · School Registered Nurse in New York

Sources for this page

Verify at the official NPI Registry.