Dr Nicholas W Tarricone, MD | |
179 River St, Oneonta, NY 13820-2239 | |
(607) 433-3484 | |
(607) 432-5790 |
Full Name | Dr Nicholas W Tarricone |
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Gender | Male |
Speciality | Pediatrics |
Location | 179 River St, Oneonta, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1548265747 | NPI | - | NPPES |
00966867 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 163534 (New York) | Primary |
Entity Name | United Medical Associates Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013972801 PECOS PAC ID: 0345144978 Enrollment ID: O20031125000020 |
Entity Name | Aurelia Osborn Fox Memorial Hospital Society |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578529954 PECOS PAC ID: 8325937006 Enrollment ID: O20040331001220 |
Mailing Address | Practice Location Address |
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Dr Nicholas W Tarricone, MD 346 Grand Ave, Johnson City, NY 13790-2580 Ph: (607) 729-8156 | Dr Nicholas W Tarricone, MD 179 River St, Oneonta, NY 13820-2239 Ph: (607) 433-3484 |
Abiodun Oyebola, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1 Norton Ave, Oneonta, NY 13820 Phone: 607-432-5600 | |
Kenneth G Lucas, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 179 River St, Oneonta, NY 13820 Phone: 607-433-3484 Fax: 607-432-5790 | |
Elizabeth Blasco, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 125 Main St, Oneonta, NY 13820 Phone: 607-433-1792 Fax: 607-433-6519 | |
Dr. Bridget Abieyuwa Igbinosun, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 125 Main St, Oneonta, NY 13820 Phone: 607-433-1790 Fax: 607-433-6608 | |
Dr. William J Fredette, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1 Norton Ave, Oneonta, NY 13820 Phone: 607-432-5600 | |
Dr. Lisa Koehl Mooney, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 125 Main St, Oneonta, NY 13820 Phone: 607-433-1792 Fax: 607-433-6608 |