| Tiphanie Charles, PA | |
|
259 1st St, Mineola, NY 11501-3957 | |
| (516) 663-0333 | |
| Not Available |
| Full Name | Tiphanie Charles |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 259 1st St, Mineola, 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 |
|---|---|---|---|
| 1386082279 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 016307 (New York) | Primary |
| Entity Name | New York University |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285826438 PECOS PAC ID: 1355232422 Enrollment ID: O20090822000026 |
| Mailing Address | Practice Location Address |
|---|---|
| Tiphanie Charles, PA 259 1st St, Mineola, NY 11501-3957 Ph: (516) 663-0333 | Tiphanie Charles, PA 259 1st St, Mineola, NY 11501-3957 Ph: (516) 663-0333 |
Gina Carucci, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 259 1st St, Mineola, NY 11501 Phone: 516-663-0333 |
Mr. James Valloor, RPA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 419 Wilson Blvd, Mineola, NY 11501 Phone: 516-395-4229 |
Monica Da Silva Oliveira, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 200 Old Country Rd, Mineola, NY 11501 Phone: 516-877-0977 |
Charles Summers, CHARLES SUMMERS Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 259 1st St, Mineola, NY 11501 Phone: 516-663-8312 Fax: 516-663-2184 |
Miss Michele White, RPA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 259 1st St, Mineola, NY 11501 Phone: 516-663-2337 |
Aimee Hsu, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 259 1st St, Mineola, NY 11501 Phone: 516-663-8312 |
Kasey Lorraine Innamorato, PHYSICIAN ASSISTANT Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 259 1st St, Mineola, NY 11501 Phone: 516-663-9734 |