MEDICARE: KENDRA CHOINSKI

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	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	644536	NY
2	163W00000X	Registered Nurse	644536	NY

General Provider Information

NPI Number	:	1871311621
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KENDRA CHOINSKI

Provider Business Mailing Address
First Line	:	5775 BROADWAY ST
Second Line	:
City	:	LANCASTER
State	:	NY
Zip	:	14086-2456
Country	:	US
Telephone Number	:	716-544-8848
Fax Number	:	888-612-0831

Provider Business Practice Location Address
First Line	:	5775 BROADWAY ST
Second Line	:
City	:	LANCASTER
State	:	NY
Zip	:	14086-2456
Country	:	US
Telephone Number	:	716-544-8848
Fax Number	:	888-612-0831

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

Provider Enumeration Date	:	10/01/2024
Last Update Date	:	01/26/2026

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Directions to “ KENDRA CHOINSKI ” Practice Location

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