Doctor Name: | JO-ELLEN ESTABROOK-POLLACK |
NPI Number: | 1104195189 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN |
License Number: | 2871441 |
Business Practice Address: | 2910 Route 9 Po 820 Valatie, NY - 12184 |
Business Phone Number: | 5187587676 |
Business Fax Number: | 5187581405 |
Mailing Address: | Route 9 2910, VALATIE |
State: | NY |
Postal Code: | 12184 |
Phone Number: | 5187587676 |
Fax Number: | 5187581405 |
NPI Enumeration Date: | 12/21/2011 |
NPI Last Update Date: | 12/21/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WS0200X |
License Number: | 2871441 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | School |
Taxonomy Definition: |