Mrs Tiana Fazio, NP | |
285 Sills Rd Ste A, East Patchogue, NY 11772-4869 | |
(631) 475-0332 | |
Not Available |
Full Name | Mrs Tiana Fazio |
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Gender | Female |
Speciality | Nurse Practitioner - Pediatrics |
Location | 285 Sills Rd Ste A, East Patchogue, 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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1467153684 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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363LP0200X | Nurse Practitioner - Pediatrics | F383310-01 (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 |
---|---|
Mrs Tiana Fazio, NP 25 Nesconset Ave, Nesconset, NY 11767-1915 Ph: (631) 338-8980 | Mrs Tiana Fazio, NP 285 Sills Rd Ste A, East Patchogue, NY 11772-4869 Ph: (631) 475-0332 |
Natalie Burnett, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1 Myrtle Ln, East Patchogue, NY 11772 Phone: 631-356-6766 | |
Ms. Dana Anne Vecchio, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 264 Sills Rd, East Patchogue, NY 11772 Phone: 631-504-6261 | |
Terry Pontino, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 475 E Main St, East Patchogue, NY 11772 Phone: 631-475-7700 Fax: 631-307-9911 | |
Ms. Linda Susan Labanca, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 931 Sipp Ave, East Patchogue, NY 11772 Phone: 919-413-2951 Fax: 919-516-4195 | |
Shaina Rosenwasser, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 285 Sills Rd Bldg 1, East Patchogue, NY 11772 Phone: 631-751-3000 | |
Karen S Ferdinand, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 285 Sills Rd, Bldg. 14, East Patchogue, NY 11772 Phone: 631-447-8300 Fax: 631-447-8872 | |
Laureen A. Diot, ANP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 Hospital Rd, Suite 216, East Patchogue, NY 11772 Phone: 631-475-5511 Fax: 631-475-5544 |