Ms Tanima Yaibuathes, NP | |
149 Commack Rd Ste A, Commack, NY 11725-3459 | |
(631) 462-2200 | |
Not Available |
Full Name | Ms Tanima Yaibuathes |
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Gender | Female |
Speciality | Nurse Practitioner - Adult Health |
Location | 149 Commack Rd Ste A, Commack, 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 |
---|---|---|---|
1669768255 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LA2200X | Nurse Practitioner - Adult Health | F305522-1 (New York) | Primary |
Entity Name | Prohealth Care Associates Llp |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275596280 PECOS PAC ID: 4486544186 Enrollment ID: O20040317000468 |
Entity Name | Stony Brook Internists University Faculty Practice Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821035601 PECOS PAC ID: 9133019821 Enrollment ID: O20040416000248 |
Mailing Address | Practice Location Address |
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Ms Tanima Yaibuathes, NP 25 Hillberry Ln, Holbrook, NY 11741-2044 Ph: (631) 588-5211 | Ms Tanima Yaibuathes, NP 149 Commack Rd Ste A, Commack, NY 11725-3459 Ph: (631) 462-2200 |
Sandra M Roth, ANP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 52 Radburn Dr, Commack, NY 11725 Phone: 631-864-5175 | |
Cindy Demetriou, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 356 Veterans Memorial Hwy, Suite 5, Commack, NY 11725 Phone: 631-858-0400 | |
Kelly Eileen Mcgowan, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2171 Jericho Tpke, Commack, NY 11725 Phone: 631-858-2190 | |
Mrs. Keri Jean Wagner, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 650 Commack Rd, Commack, NY 11725 Phone: 631-623-4000 Fax: 631-864-2787 | |
Mrs. Ann Marie Perrino, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 68 Hauppauge Rd, Commack, NY 11725 Phone: 631-715-2000 | |
Ms. Kathleen Bradley Kupferman, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 68 Hauppauge Rd, Commack, NY 11725 Phone: 631-715-2503 | |
Mrs. Lauren Dolce, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6080 Jericho Tpke, Suite 314, Commack, NY 11725 Phone: 631-462-2200 |