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NPI Code Detail

MEDICARE: JENNIFER L VENDETTI

MEDICARE: JENNIFER L VENDETTI
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163WS0200XSchool Registered Nurse771556NY

General Provider Information

NPI Number : 1033739396
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER L VENDETTI
Provider Business Mailing Address
First Line : 820 FEHR AVE
Second Line :
City : SCHENECTADY
State : NY
Zip : 12309-6410
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1121 FOREST RD
Second Line :
City : SCHENECTADY
State : NY
Zip : 12303-1219
Country : US
Telephone Number : 518-370-8182
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/16/2020
Last Update Date : 04/16/2020

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Directions to “ JENNIFER L VENDETTI ” Practice Location

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