| Tara Marie Vanderburg, PA-C | |
|
611 Northern Blvd, Suite 200, Great Neck, NY 11021-5207 | |
| (516) 723-2663 | |
| Not Available |
| Full Name | Tara Marie Vanderburg |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 11 Years |
| Location | 611 Northern Blvd, Great Neck, New York |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386085082 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 016642 (New York) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| North Shore - Lij Medical Pc | 3375701568 | 5099 |
| Mailing Address | Practice Location Address |
|---|---|
| Tara Marie Vanderburg, PA-C 611 Northern Blvd, Suite 200, Great Neck, NY 11021-5207 Ph: (516) 723-2663 | Tara Marie Vanderburg, PA-C 611 Northern Blvd, Suite 200, Great Neck, NY 11021-5207 Ph: (516) 723-2663 |
Michelle Stewart, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 600 Northern Blvd, Suite 300, Great Neck, NY 11021 Phone: 516-627-8717 | |
John Palermo, PHYSICAN ASSISTANT Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 55 Northern Blvd, Ste 103, Great Neck, NY 11021 Phone: 516-466-9300 Fax: 516-466-9353 | |
Deborah Ishaal, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 1010 Northern Blvd, Suite 208, Great Neck, NY 11021 Phone: 718-888-1467 Fax: 516-869-8653 | |
Michaela Espadas, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 2 E Mill Dr Apt 3g, Great Neck, NY 11021 Phone: 516-581-3266 | |
Ghazaleh Yasmeh, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 60 Knights Bridge Rd, Apt# 1d, Great Neck, NY 11021 Phone: 818-445-1724 | |
Mr. Jacob Henry Ettinger, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 21 Canterbury Rd, Apartment #3, Great Neck, NY 11021 Phone: 516-570-6015 | |
Peri Santodonato, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 5 Imperial Ct, Great Neck, NY 11023 Phone: 646-643-7374 |