Annette Donna Dawes, NP | |
12138 237th St, Rosedale, NY 11422-1039 | |
(347) 288-4272 | |
Not Available |
Full Name | Annette Donna Dawes |
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Gender | Female |
Speciality | Nurse Practitioner - Adult Health |
Location | 12138 237th St, Rosedale, 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 |
---|---|---|---|
1518651843 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 721081 (New York) | Secondary |
363LA2200X | Nurse Practitioner - Adult Health | 311345 (New York) | Primary |
Entity Name | North Shore - Lij Medical Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053688572 PECOS PAC ID: 3375701568 Enrollment ID: O20120220000262 |
Mailing Address | Practice Location Address |
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Annette Donna Dawes, NP 12138 237th St, Rosedale, NY 11422-1039 Ph: (347) 288-4272 | Annette Donna Dawes, NP 12138 237th St, Rosedale, NY 11422-1039 Ph: (347) 288-4272 |
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