Jennifer Alicia Aybar-Blenke
Individual provider Active NPI Registered Nurse · Wynantskill, NY
NPI 1801619903 · NPPES record last updated Nov 6, 2024
Key facts
- NPI
- 1801619903
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 803614 (NY)
- Practice address
- 614 Cooper Hill Rd
Wynantskill, NY 12198-2906 - Phone
- (508) 982-4513
- NPI assigned
- Nov 6, 2024
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 803614 | NY | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 803614 | NY | Yes |
Addresses
Primary practice location
614 Cooper Hill Rd
Wynantskill, NY 12198-2906
Mailing address
1611 Garfield Rd
Stephentown, NY 12168-3008
Phone (508) 982-4513
Other providers in Wynantskill, NY
- Gina M Adamo
- Bajram Ahmemulic
- Shagufta Asar
- Jenny Ayers
- Brittany Barnard
- Patrick Paul Bergmann
- Krystal Bohan
- Stephanie Jill Carbone
All providers in Wynantskill, NY · Registered Nurse in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 6, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.