Amber Modafferi, CRNA, RN | |
1001 West St, Carthage, NY 13619-9703 | |
(315) 493-1000 | |
Not Available |
Full Name | Amber Modafferi |
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Gender | Female |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 1001 West St, Carthage, 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 |
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1558021121 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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367500000X | Nurse Anesthetist, Certified Registered | 138545 (New York) | Primary |
Entity Name | Claxton-hepburn Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891753034 PECOS PAC ID: 8426966508 Enrollment ID: O20031110000552 |
Entity Name | Carthage Area Hospital Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053497388 PECOS PAC ID: 9931010485 Enrollment ID: O20040209000856 |
Mailing Address | Practice Location Address |
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Amber Modafferi, CRNA, RN 37 Bridge St, Carthage, NY 13619-1352 Ph: (315) 561-3068 | Amber Modafferi, CRNA, RN 1001 West St, Carthage, NY 13619-9703 Ph: (315) 493-1000 |
Mr. Christopher Michael Mccartney, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1001 West St, Carthage, NY 13619 Phone: 315-952-5650 | |
Mr. Kingsley L Malcolm, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1001 West St, Carthage, NY 13619 Phone: 315-493-1000 | |
Jillian Evonne Mccartney, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1001 West St, Carthage, NY 13619 Phone: 315-493-1000 |