Tandilaya Rice, FNP | |
164 Washington St, Freeport, NY 11520-4120 | |
(347) 317-8781 | |
Not Available |
Full Name | Tandilaya Rice |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 164 Washington St, Freeport, 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 |
---|---|---|---|
1396432696 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 350649 (New York) | Primary |
163W00000X | Registered Nurse | 706254 (New York) | Secondary |
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 |
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Tandilaya Rice, FNP 164 Washington St, Freeport, NY 11520-4120 Ph: (347) 317-8781 | Tandilaya Rice, FNP 164 Washington St, Freeport, NY 11520-4120 Ph: (347) 317-8781 |
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