Tyler Grant, RN | |
301 Prospect Ave, Syracuse, NY 13203-1807 | |
(315) 448-5111 | |
Not Available |
Full Name | Tyler Grant |
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Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 301 Prospect Ave, Syracuse, 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 |
---|---|---|---|
1003534694 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 688131 (New York) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 688131 (New York) | Primary |
Entity Name | North American Partners In Anesthesia Llp |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649264706 PECOS PAC ID: 7719885771 Enrollment ID: O20040108000176 |
Mailing Address | Practice Location Address |
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Tyler Grant, RN 1305 Walt Whitman Rd Ste 300, Melville, NY 11747-4300 Ph: (516) 945-3000 | Tyler Grant, RN 301 Prospect Ave, Syracuse, NY 13203-1807 Ph: (315) 448-5111 |
Robert A Worden, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4900 Broad Rd, Syracuse, NY 13215 Phone: 315-492-5522 | |
Kristen Ryder, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 736 Irving Ave, Syracuse, NY 13210 Phone: 315-470-8705 | |
Marc Therrien, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 102 Russet Ln, Syracuse, NY 13209 Phone: 315-263-0526 | |
Michael Joseph Hoskin, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 301 Prospect Ave, Syracuse, NY 13203 Phone: 315-299-5451 Fax: 315-299-4710 | |
John F Murphy, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4900 Broad Rd, Syracuse, NY 13215 Phone: 315-470-7828 Fax: 315-470-5811 | |
Ms. Sigrid A. Marfo, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4900 Broad Rd, Syracuse, NY 13215 Phone: 315-492-5522 | |
James Roth, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 736 Irving Ave, Syracuse, NY 13210 Phone: 315-470-7828 Fax: 315-470-5811 |