Mr Lee Bernard Lande, FNP-C | |
2 Rubin Dr, Rushville, NY 14544-9681 | |
(585) 554-4400 | |
Not Available |
Full Name | Mr Lee Bernard Lande |
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Gender | Male |
Speciality | Nurse Practitioner - Family |
Location | 2 Rubin Dr, Rushville, 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 |
---|---|---|---|
1407581903 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 349704 (New York) | Primary |
Entity Name | Mosaic Health, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528428208 PECOS PAC ID: 4385826585 Enrollment ID: O20110309000547 |
Mailing Address | Practice Location Address |
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Mr Lee Bernard Lande, FNP-C 5 Bayberry Ln, Rochester, NY 14616-3718 Ph: (585) 203-4288 | Mr Lee Bernard Lande, FNP-C 2 Rubin Dr, Rushville, NY 14544-9681 Ph: (585) 554-4400 |
Dr. Sarah R Russell, DNP, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2 Rubin Dr, Rushville, NY 14544 Phone: 585-554-4400 | |
Jessica Frazo, PNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2 Rubin Dr, Rushville, NY 14544 Phone: 585-554-4400 | |
Samantha M Glarner, RN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2 Rubin Dr, Rushville, NY 14544 Phone: 585-554-4400 Fax: 585-554-3342 |