| Mrs Nicole Surace, OT | |
|
159 W 1st St, Oswego, NY 13126-2045 | |
| (315) 349-5558 | |
| (315) 349-5652 |
| Full Name | Mrs Nicole Surace |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 159 W 1st St, Oswego, 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 |
|---|---|---|---|
| 1205089620 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 013555 (New York) | Primary |
| Provider Name | State Of New York Comptrollers Office |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1750469912 PECOS PAC ID: 0840101770 Enrollment ID: O20190313000800 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Nicole Surace, OT 159 W 1st St, Oswego, NY 13126-2045 Ph: (315) 349-5558 | Mrs Nicole Surace, OT 159 W 1st St, Oswego, NY 13126-2045 Ph: (315) 349-5558 |
Lisa H. Gaudet, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 159 W 1st St, Oswego, NY 13126 Phone: 315-342-9575 | |
Elisha Hu, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 159 W 1st St, Oswego, NY 13126 Phone: 315-342-9575 | |
Hailey Holcomb, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 159 W 1st St, Oswego, NY 13126 Phone: 315-342-9575 | |
Mrs. Robyn Renee Sturdevant, COTA Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 159 W 1st St, Oswego, NY 13126 Phone: 315-342-9575 | |
Caryn Salce, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 159 W 1st St, Oswego, NY 13126 Phone: 315-342-9575 | |
Brittany Miller, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 159 West First Street, Oswego, NY 13126 Phone: 315-342-9575 | |
Emily Thomas, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 155 W 1st St, Oswego, NY 13126 Phone: 315-342-9575 |