Dawn Houghtaling-bryda, is a
Licensed Practical Nurse based in White Lake, New York. Dawn Houghtaling-bryda is licensed to practice in New York (license number 271469-1) and her current practice location is
32 Foster Rd, White Lake, New York. She can be reached at her office (for appointments etc.) via phone at
(845) 239-9812.
NPI number for Dawn Houghtaling-bryda is 1528552205 and her current mailing address is Po Box 651, Smallwood, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1528552205.
Provider's Profile
| Full Name | Dawn Houghtaling-bryda |
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| Gender | Female |
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| Speciality | Licensed Practical Nurse |
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| Location | 32 Foster Rd, White Lake, 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: 1528552205
- Provider Enumeration Date: 06/18/2018
- Last Update Date: 06/18/2018
Medical Identifiers
Medical identifiers for Dawn Houghtaling-bryda such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1528552205 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 164W00000X | Licensed Practical Nurse | 271469-1 (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. Dawn Houghtaling-bryda 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 |
|---|
Dawn Houghtaling-bryda,
Po Box 651,
Smallwood, NY 12778-0651
Ph: (845) 239-9812 | Dawn Houghtaling-bryda,
32 Foster Rd,
White Lake, NY 12786
Ph: (845) 239-9812 |
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