Healthcare Provider Details

I. General information

NPI: 1730741976
Provider Name (Legal Business Name): ANNABEL TSENG ENDEAN MSN, RN, CRNFA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/08/2019
Last Update Date: 05/05/2023
Certification Date: 05/05/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

525 E 68TH ST
NEW YORK NY
10065-4870
US

IV. Provider business mailing address

87 SMITH ST APT 6B
BROOKLYN NY
11201-5909
US

V. Phone/Fax

Practice location:
  • Phone: 212-746-0338
  • Fax:
Mailing address:
  • Phone: 917-545-9338
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WR0006X
TaxonomyRegistered Nurse First Assistant
License Number646312-1
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number432246
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: