Mrs Nicole Surace, OT | |
159 W 1st St, Oswego, NY 13126-2045 | |
(315) 349-5558 | |
(315) 349-5652 |
Full Name | Mrs Nicole Surace |
---|---|
Gender | Female |
Speciality | Occupational Therapist |
Location | 159 W 1st St, Oswego, 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 |
---|---|---|---|
1205089620 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 013555 (New York) | Primary |
Provider Name | State Of New York Comptrollers Office |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1750469912 PECOS PAC ID: 0840101770 Enrollment ID: O20190313000800 |
Mailing Address | Practice Location Address |
---|---|
Mrs Nicole Surace, OT 159 W 1st St, Oswego, NY 13126-2045 Ph: (315) 349-5558 | Mrs Nicole Surace, OT 159 W 1st St, Oswego, NY 13126-2045 Ph: (315) 349-5558 |
Lisa H. Gaudet, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 159 W 1st St, Oswego, NY 13126 Phone: 315-342-9575 | |
Elisha Hu, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 159 W 1st St, Oswego, NY 13126 Phone: 315-342-9575 | |
Hailey Holcomb, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 159 W 1st St, Oswego, NY 13126 Phone: 315-342-9575 | |
Mrs. Robyn Renee Sturdevant, COTA Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 159 W 1st St, Oswego, NY 13126 Phone: 315-342-9575 | |
Caryn Salce, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 159 W 1st St, Oswego, NY 13126 Phone: 315-342-9575 | |
Brittany Miller, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 159 West First Street, Oswego, NY 13126 Phone: 315-342-9575 | |
Emily Thomas, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 155 W 1st St, Oswego, NY 13126 Phone: 315-342-9575 |