Tara M Cornell, NPP | |
48 East St, Fort Edward, NY 12828-1811 | |
(518) 824-8630 | |
(518) 824-2302 |
Full Name | Tara M Cornell |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 48 East St, Fort Edward, 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 |
---|---|---|---|
1922732114 | NPI | - | NPPES |
07361122 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 404226 (New York) | Primary |
Entity Name | Hudson Headwaters Health Network |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194738344 PECOS PAC ID: 7416861208 Enrollment ID: O20031117000239 |
Mailing Address | Practice Location Address |
---|---|
Tara M Cornell, NPP 9 Carey Rd, Queensbury, NY 12804-7880 Ph: (518) 761-0300 | Tara M Cornell, NPP 48 East St, Fort Edward, NY 12828-1811 Ph: (518) 824-8630 |
Rita Lynn All, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 48 East St, Fort Edward, NY 12828 Phone: 518-824-8630 Fax: 518-824-2302 | |
Gail E Stern, NPP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 48 East St, Fort Edward, NY 12828 Phone: 518-824-8630 Fax: 518-824-2302 | |
Felicia A Heber, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 48 East St, Fort Edward, NY 12828 Phone: 518-824-8630 Fax: 518-824-2302 | |
Jamie D Bovair, ANP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 327 Broadway, Fort Edward, NY 12828 Phone: 518-747-1041 Fax: 518-747-1022 |