| Tara A Burke Muscatello Np Psychiatry Pllc | |
|
56 Clifton Country Road Suite 100 Clifton Park NY 12065-3994 | |
| (518) 782-3815 | |
| (323) 334-1415 |
| Full Name | Tara A Burke Muscatello Np Psychiatry Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 56 Clifton Country Road, Clifton Park, New York |
| Authorized Official Name and Position | Tara A Burke Muscatello (OWNER) |
| Authorized Official Contact | 5187823815 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tara A Burke Muscatello Np Psychiatry Pllc 56 Clifton Country Road Suite 100 Clifton Park NY 12065-3994 Ph: (518) 782-3815 | Tara A Burke Muscatello Np Psychiatry Pllc 56 Clifton Country Road Suite 100 Clifton Park NY 12065-3994 Ph: (518) 782-3815 |
| NPI Number | 1366102444 |
|---|---|
| Provider Enumeration Date | 12/30/2021 |
| Last Update Date | 12/30/2021 |
| Certification Date | 12/30/2021 |
| Medicare PECOS PAC ID | 6901297811 |
|---|---|
| Medicare Enrollment ID | O20220104002289 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366102444 | NPI | - | NPPES |
| Provider Name | Tara A Burke-muscatello |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316599863 PECOS PAC ID: 1951632595 Enrollment ID: I20191011000753 |
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