Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mrs. Tami Coleen Fetzer, PNP

Individual provider Pediatric Nurse Practitioner · NPI 1740441328

Mrs. Tami Coleen Fetzer, PNP is a Nurse Practitioner in Huntington, New York. Qualified in 1999, 27 years ago. Practices with North Shore Medical Group of the Mount Sinai School of Medicine, a 323-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
27
Licensed in
NY
In the registry since
2008
What do these letters mean?
PNP — Pediatric Nurse Practitioner
A nurse practitioner specialising in children.

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Practice location Address checks out

270 Park Ave
Huntington, NY 11743-2787
Phone: (631) 351-2337
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X · Licence F381273-1 (NY)

Record details

NPI number1740441328
Entity typeIndividual (Type 1)
GenderFemale
Credentials PNP
Sole proprietorYes
NPI enumeratedJune 17, 2008
Last updated in NPPESJune 17, 2008

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 1999 (27 years in practice)
Group practice North Shore Medical Group Of The Mount Sinai School Of Medicine — 323 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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