Mrs Tara Yvonne Wiese, is a
Physical Therapist based in Nassau, New York. Mrs Tara Yvonne Wiese is licensed to practice in New York (license number 018451-1) and her current practice location is
68 Clarks Chapel Rd, Nassau, New York. She can be reached at her office (for appointments etc.) via phone at
(518) 477-4484.
NPI number for Mrs Tara Yvonne Wiese is 1871705533 and her current mailing address is 68 Clarks Chapel Rd, Nassau, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1871705533.
Healthcare Provider's Profile
Full Name | Mrs Tara Yvonne Wiese |
---|
Gender | Female |
---|
Speciality | Physical Therapist |
---|
Location | 68 Clarks Chapel Rd, Nassau, New York |
---|
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1871705533
- Provider Enumeration Date: 05/04/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Mrs Tara Yvonne Wiese such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1871705533 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225100000X | Physical Therapist | 018451-1 (New York) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Tara Yvonne Wiese is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mrs Tara Yvonne Wiese, 68 Clarks Chapel Rd, Nassau, NY 12123-2611 Ph: (518) 477-4484 | Mrs Tara Yvonne Wiese, 68 Clarks Chapel Rd, Nassau, NY 12123-2611 Ph: (518) 477-4484 |
Reviews and Comments