Taisha S Davis, NP | |
855 State Route 17m, Monroe, NY 10950-1600 | |
(845) 703-6999 | |
(845) 703-6297 |
Full Name | Taisha S Davis |
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Gender | Female |
Speciality | Nurse Practitioner - Adult Health |
Location | 855 State Route 17m, Monroe, 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 |
---|---|---|---|
1164944294 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LA2200X | Nurse Practitioner - Adult Health | F341964 (New York) | Primary |
Entity Name | Crystal Run Healthcare Physicians Llp |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952376410 PECOS PAC ID: 6901792696 Enrollment ID: O20040227000791 |
Mailing Address | Practice Location Address |
---|---|
Taisha S Davis, NP 155 Crystal Run Rd, Middletown, NY 10941-4028 Ph: (845) 703-6999 | Taisha S Davis, NP 855 State Route 17m, Monroe, NY 10950-1600 Ph: (845) 703-6999 |
Sandra L Tetler, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 855 State Route 17m, Monroe, NY 10950 Phone: 845-703-6999 Fax: 845-703-6297 | |
Lydia Kankam, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4 Webster Ct, Monroe, NY 10950 Phone: 646-671-6158 | |
Mrs. Barbara E Kura, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1200 State Route 208, Suite 13, Monroe, NY 10950 Phone: 845-783-6266 | |
Caitlin Lakeman, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 855 State Route 17m, Monroe, NY 10950 Phone: 845-703-6999 Fax: 845-700-3629 | |
Ms. Barbara Ann Monteverde, FAMILY NURSE PRACTIT Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 260 Oakland Ave, Monroe, NY 10950 Phone: 845-213-9142 | |
Mr. Jason Chiong Lee, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1200 State Route 208 Ste 13, Monroe, NY 10950 Phone: 845-783-6266 Fax: 845-783-9570 |