Dr Tatiana S Erdely, MD is a
Pediatrics physician based in Mastic, New York. Dr Tatiana S Erdely is licensed to practice in New York (license number 113398) and her current practice location is 1 Lambert Ave, Mastic, New York. She can be reached at her office (for appointments etc.) via phone at
(631) 281-4070.
NPI number for Dr Tatiana S Erdely is 1598755860 and her current mailing address is 1 Lambert Ave, Mastic, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1598755860.
Physician's Profile
| Full Name | Dr Tatiana S Erdely |
|---|
| Gender | Female |
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| Speciality | Pediatrics |
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| Location | 1 Lambert Ave, Mastic, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1598755860
- Provider Enumeration Date: 10/26/2005
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Tatiana S Erdely such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1598755860 | NPI | - | NPPES |
| 00625989 | Medicaid | NY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208000000X | Pediatrics | 113398 (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. Dr Tatiana S Erdely 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 |
|---|
Dr Tatiana S Erdely, MD
1 Lambert Ave,
Mastic, NY 11950-2100
Ph: (631) 281-4070 | Dr Tatiana S Erdely, MD
1 Lambert Ave,
Mastic, NY 11950-2100
Ph: (631) 281-4070 |
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