| Dr Natasha A Tellechea, MD | |
|
380 N Broadway, Suite L2, Jericho, NY 11753-2109 | |
| (516) 931-1776 | |
| (516) 942-1940 |
| Full Name | Dr Natasha A Tellechea |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 380 N Broadway, Jericho, 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 |
|---|---|---|---|
| 1154419687 | NPI | - | NPPES |
| 01927324 | Medicaid | NY | |
| 2C0540 | Other | NY | HEALTH NET |
| 2H7541 | Other | NY | EMPIRE BC/BS |
| 2699157 | Other | NY | GHI |
| 5228760 | Other | NY | AETNA |
| P1842678 | Other | NY | OXFORD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 212694 (New York) | Primary |
| Entity Name | North Shore-lij Medical Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053688572 PECOS PAC ID: 3375701568 Enrollment ID: O20120220000262 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Natasha A Tellechea, MD 68 S Service Rd, Suite 350, Melville, NY 11747-2354 Ph: (516) 945-3000 | Dr Natasha A Tellechea, MD 380 N Broadway, Suite L2, Jericho, NY 11753-2109 Ph: (516) 931-1776 |
Stephanie Citerman, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 11 Clinton Ln, Jericho, NY 11753 Phone: 516-938-9042 | |
Dr. Monica M Melamedoff, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 380 N Broadway, Suite L2, Jericho, NY 11753 Phone: 516-931-1776 Fax: 516-942-1940 | |
Dr. Caro E Mccarthy, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 55 Jericho Turnpike, Jericho, NY 11753 Phone: 516-338-0505 Fax: 516-338-4378 | |
Dr. Ira M Sacker, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 10 Sullivan Dr, Jericho, NY 11753 Phone: 516-606-8175 Fax: 516-935-7952 | |
Mrs. Amorita Snow, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 380 N Broadway, Suite L 2, Jericho, NY 11753 Phone: 516-931-1776 Fax: 516-942-1940 | |
Dr. Karen R Lindner-choset, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 380 N Broadway, Suite L2, Jericho, NY 11753 Phone: 516-931-8688 Fax: 516-942-1940 |