Healthcare Provider Details

I. General information

NPI: 1821361262
Provider Name (Legal Business Name): JENNIFER AYN ENGER DVM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/15/2012
Last Update Date: 02/15/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

394 RTE 52
CARMEL NY
10512
US

IV. Provider business mailing address

394 RTE 52
CARMEL NY
10512
US

V. Phone/Fax

Practice location:
  • Phone: 845-225-3100
  • Fax: 845-225-7815
Mailing address:
  • Phone: 845-225-3100
  • Fax: 845-225-7815

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174M00000X
TaxonomyVeterinarian
License Number008319
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code174M00000X
TaxonomyVeterinarian
License Number003500
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: