Tara Deitrick
Tara Deitrick is a Certified Registered Nurse Anesthetist (CRNA) in Mineola, New York. Qualified in 1980, 46 years ago. Practices with Endoscopy Center of Long Island LLC, a 21-clinician group and accepts Medicare assignment. Licensed in New York.
- Years since qualifying
- 46
- Licensed in
- NY
- In the registry since
- 2006
Practice location Address checks out
259 1st StMineola, NY 11501-3957
Phone: (516) 741-0570
Fax: (516) 741-8276
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Certified Registered Nurse Anesthetist (primary) | Taxonomy 367500000X · Licence 9330 (NY) |
|---|
Record details
| NPI number | 1497855704 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | September 25, 2006 |
| Last updated in NPPES | November 29, 2017 |
| Mailing address | 17 Kenwood Rd, Garden City, NY 11530-3034 |
Medicare enrollment
| Medicare specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
|---|---|
| Medical school | OTHER |
| Graduated | 1980 (46 years in practice) |
| Group practice | Endoscopy Center Of Long Island Llc — 21 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Mineola
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Stefanie Capri Centamore, CRNA
259 1st St, Mineola, NY 11501-3957 · (516) 663-0333
-
Maureen Curtin
259 1st St, Mineola, NY 11501-3957 · (516) 663-0333
-
Mr. Frank Joseph Daugherty, CRNA
216 1st St, Mineola, NY 11501-3901 · (516) 663-2216
-
Julie Evans, RN
259 1st St, Mineola, NY 11501-3957 · (516) 741-0570
-
Susan Fackelman
259 1st St, Mineola, NY 11501-3957 · (516) 663-0333
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James Jacob
259 1st St, Mineola, NY 11501-3957 · (516) 663-0333
-
Elizabeth Lawton, CRNA
110 Willis Ave, Mineola, NY 11501-2620 · (516) 294-0030