Tamar Shicly
Tamar Shicly is a Nurse Practitioner in Teaneck, New Jersey. Graduated from State University of New York Downstate Medical Center in 2015, 11 years ago. Practices with Lakewood Resource and Referral Center Inc, a 107-clinician group and accepts Medicare assignment. Licensed in New York.
- Years since qualifying
- 11
- Trained at
- State University of New York Downstate Medical Center
- Licensed in
- NY
- In the registry since
- 2015
Practice location Address checks out
388 Sagamore AveTeaneck, NJ 07666-2625
Phone: (917) 991-8175
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Nurse Practitioner (primary) | Taxonomy 363LF0000X · Licence F339696-1 (NY) |
|---|
Record details
| NPI number | 1427430149 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | June 19, 2015 |
| Last updated in NPPES | June 19, 2015 |
| Mailing address | 388 Sagamore Ave, Teaneck, NJ 07666-2625 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | STATE UNIVERSITY OF NEW YORK DOWNSTATE MEDICAL CENTER |
| Graduated | 2015 (11 years in practice) |
| Group practice | Lakewood Resource And Referral Center Inc — 107 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 3 on file with Medicare |
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Amber Springer
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Dr. Phyllis A Tarallo, DNP, DCC, FNP-C
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