| Dara Yastrzemski, PMHNP | |
|
243 Delaware St, Walton, NY 13856-1019 | |
| (607) 832-5888 | |
| (607) 832-6081 |
| Full Name | Dara Yastrzemski |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 243 Delaware St, Walton, 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 |
|---|---|---|---|
| 1962153809 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 404147 (New York) | Primary |
| Entity Name | Mary Imogene Bassett Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083664221 PECOS PAC ID: 3779488325 Enrollment ID: O20031205000553 |
| Entity Name | Delaware County |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740375385 PECOS PAC ID: 1254327380 Enrollment ID: O20040422001601 |
| Entity Name | Psychiatry Faculty Practice, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881084820 PECOS PAC ID: 9234458530 Enrollment ID: O20150508000699 |
| Mailing Address | Practice Location Address |
|---|---|
| Dara Yastrzemski, PMHNP 243 Delaware St, Walton, NY 13856-1019 Ph: (607) 832-5888 | Dara Yastrzemski, PMHNP 243 Delaware St, Walton, NY 13856-1019 Ph: (607) 832-5888 |
Mrs. Marjorie Menardy Magloire, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2 Titus Pl, Walton, NY 13856 Phone: 607-865-2400 Fax: 607-374-1472 | |
Stephanie Marie Dionne, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 130 North St, Walton, NY 13856 Phone: 607-865-6541 | |
Nicholas Knibbs, APRN FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 130 North St, Walton, NY 13856 Phone: 607-865-6541 Fax: 607-865-9164 | |
Mrs. Jennifer L Grigoli, PMHNP, DNS Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 243 Delaware St, Walton, NY 13856 Phone: 604-832-5888 | |
Patrick James Fitzpatrick, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2 Titus Pl, Walton, NY 13856 Phone: 607-865-2400 | |
Cynthia M Cantwell, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2 Titus Place, Walton, NY 13856 Phone: 607-865-2400 Fax: 607-865-7305 | |
Shasta Treadway, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 243 Delaware St, Walton, NY 13856 Phone: 607-832-5888 Fax: 607-832-6081 |