MEDICARE: KARI ENDICK

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
1	235Z00000X	Speech-Language Pathologist

General Provider Information

NPI Number	:	1104196518
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KARI ENDICK

Provider Business Mailing Address
First Line	:	327 CHERRY ST
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10002-6560
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	159 BRIARWOOD DR E
Second Line	:
City	:	BERKELEY HEIGHTS
State	:	NJ
Zip	:	07922-1219
Country	:	US
Telephone Number	:	631-796-2948
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/03/2012
Last Update Date	:	10/30/2020

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Directions to “ KARI ENDICK ” Practice Location

Language	Start Address	Practice Location

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