Crystal Tanzola, is a
Licensed Vocational Nurse based in Unadilla, New York. Crystal Tanzola is licensed to practice in New York (license number 1164WOOOOOX) and her current practice location is
95 Main St, Apt 4, Unadilla, New York. She can be reached at her office (for appointments etc.) via phone at
(631) 413-6770.
NPI number for Crystal Tanzola is 1669892030 and her current mailing address is Po Box 851, Unadilla, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1669892030.
Provider's Profile
Full Name | Crystal Tanzola |
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Gender | Female |
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Speciality | Licensed Vocational Nurse |
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Location | 95 Main St, Unadilla, New York |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1669892030
- Provider Enumeration Date: 04/23/2014
- Last Update Date: 04/23/2014
Medical Identifiers
Medical identifiers for Crystal Tanzola such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1669892030 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
164X00000X | Licensed Vocational Nurse | 1164WOOOOOX (New York) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Crystal Tanzola is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Crystal Tanzola, Po Box 851, Unadilla, NY 13849-0851 Ph: (631) 413-6770 | Crystal Tanzola, 95 Main St, Apt 4, Unadilla, NY 13849-3406 Ph: (631) 413-6770 |
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