Leonne Tanis, CNM, WHNP | |
439 Port Richmond Ave, Staten Island, NY 10302-1714 | |
(718) 876-1732 | |
Not Available |
Full Name | Leonne Tanis |
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Gender | Female |
Speciality | Advanced Practice Midwife |
Location | 439 Port Richmond Ave, Staten Island, 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 |
---|---|---|---|
1356086375 | NPI | - | NPPES |
F002225 | Other | NY | NEW YORK STATE |
Taxonomy | Type | License (State) | Status |
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367A00000X | Advanced Practice Midwife | F002225 (New York) | Primary |
Entity Name | Medical Faculty Associates, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417990581 PECOS PAC ID: 4082528898 Enrollment ID: O20031117000341 |
Mailing Address | Practice Location Address |
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Leonne Tanis, CNM, WHNP 69 Forest St, Montclair, NJ 07042-3810 Ph: (718) 594-0366 | Leonne Tanis, CNM, WHNP 439 Port Richmond Ave, Staten Island, NY 10302-1714 Ph: (718) 876-1732 |
Theresa A Belfiore, C.N.M. Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 235 Port Richmond Ave, Staten Island, NY 10302 Phone: 718-876-1732 | |
Mrs. Luba Katz, RN, CNM, CNP Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 59 Lynbrook Ave, Staten Island, NY 10309 Phone: 718-966-1135 | |
Mrs. Laurene Marie Corbino, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 73 Clawson St, Staten Island, NY 10306 Phone: 171-898-7039 | |
Mr. Barry N. Wright, PA,MW Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 1050 Clove Rd, Staten Island, NY 10301 Phone: 718-816-6440 Fax: 718-816-3611 | |
Mrs. Marie Jean Galletta, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 1145 Targee St, Staten Island, NY 10304 Phone: 718-668-3600 |