MRS. TARA MICHELLE NIEDZIALKOWSKI


Address: 55 Calvary Dr, Norwich, NY 13815-1032
Phone: 6073366362

MRS. TARA MICHELLE NIEDZIALKOWSKI (NPI# 1215216551) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1215216551
Entity Type Individual
Full Name MRS. TARA MICHELLE NIEDZIALKOWSKI
Credential PA
Practice Address 55 Calvary Dr
Norwich
NY 13815-1032
Mailing Address 43 Cleveland Ave
Apartment #2
Binghamton
NY 13905-3221
Practice Telephone 6073366362
Mailing Telephone 6077594832
Enumeration Date 2011-08-04
Last Update Date 2012-01-03
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 55 CALVARY DR
City NORWICH
State NY
Zip Code 13815-1032

Providers in the same location

NPI Name Taxonomy Address Enumeration
1104883727 Thomas R Holmes Family Medicine 55 Calvary Dr, Norwich, NY 13815-1032 2006-04-27
1477100212 Mary Imogene Bassett Hospital Clinic/Center 55 Calvary Dr, Norwich, NY 13815-1032 2019-08-26
1255987277 Emily Hodack Registered Nurse 55 Calvary Dr, Norwich, NY 13815-1032 2019-08-15
1730741737 Trevor G Tompkins Nurse Practitioner 55 Calvary Dr, Norwich, NY 13815-1032 2019-07-01
1285290460 Daniel Babcock Nurse Practitioner 55 Calvary Dr, Norwich, NY 13815-1032 2019-05-14
1154842201 Laura Ann Everett Nurse Practitioner 55 Calvary Dr, Norwich, NY 13815-1032 2017-06-29
1871944561 Pamela Gilbert Nurse Practitioner 55 Calvary Dr, Norwich, NY 13815-1032 2016-06-24
1659784189 Hannah Doscher Registered Nurse 55 Calvary Dr, Norwich, NY 13815-1032 2014-06-02
1447678321 Elisa Louise Scott Nurse Practitioner 55 Calvary Dr, Norwich, NY 13815-1032 2014-03-28
1811320625 Mary E Strong Nurse Practitioner 55 Calvary Dr, Norwich, NY 13815-1032 2013-08-15
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1497304752 Amanda Butler Social Worker Chenango County Community Mental Hygiene Services, 5 Court Street, Suite 42 County Office Building, Norwich, NY 13815 2019-09-10
1235793548 Kay Marie Drebert Social Worker Chenango County Community Mental Hygiene Services - Cou, Suite 42, Norwich, NY 13815 2019-04-23
1497230460 Jessica Lynn Elliott Social Worker 5 Court Street, St 42, Chenango County Behavioral Health Services, County Offi, Norwich, NY 13815 2018-09-26
1801387543 Heather Rae Kolb Social Worker 5 Court St. Suite 42, Noriwch, NY 13815 2018-05-29
1386162006 Courtney Jean Brown Licensed Practical Nurse 131 Railroad Ave, Norwich, NY 13815 2017-09-01
1891225827 Fanny Sacks Chiropractor 4939 State Hwy 23, Norwich, NY 13815 2017-06-13
1558817916 Erika J Rossi Nurse Practitioner 55 Calvary Drive, Norwich, NY 13815 2016-08-26
1013367341 Irina Gordeyeva Social Worker 5 Court Street Suite 42, Chenango County Behavioral Health Services, Norwich, NY 13815 2016-06-17
1104287390 Amanda Leigh Scott Massage Therapist 409 County Rd 33, Norwich, NY 13815 2016-03-15
1962886119 Abigail Goings Speech-Language Pathologist 54 Borden Ave, C 38, Norwich, NY 13815 2015-07-17
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1134114770 Gerald W Doherty Physician Assistant 79 Kerwin Hill Rd, Norwich, VT 05055-9475 2005-09-20
1669031563 Jaclyn Rose Neveu Physician Assistant 164 Otrobando Ave, Norwich, CT 06360-2116 2019-06-13
1760790612 Leslie N Brown Physician Assistant 79 Wawecus St, Ste. 101, Norwich, CT 06360-2160 2010-09-14
1003047481 Melody Mukon Physician Assistant 330 Washington St, Suite 220, Norwich, CT 06360-2700 2009-08-03
1124274378 Kelly Jean Way Physician Assistant 326 Washington St, Norwich, CT 06360-2740 2008-08-07

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1487252581 North Shore Medical Group Pllc Physician Assistant 311 Skyview Ter, Syracuse, NY 13219-2835 2020-10-12
1477169654 Kristen Ariel O'connell Physician Assistant 85 John St Apt 7a, New York, NY 10038-2844 2020-09-22
1699381616 David Nmn Kao Physician Assistant 737 Pleasant Avenue, Westbury, NY 11590-6407 2020-09-16
1043824816 Elizabeth Keane Physician Assistant 25 Hollis Dr, Sound Beach, NY 11789-1629 2020-08-31
1497364111 Tianna Stephens Physician Assistant 165 N Village Ave Ste 5, Rockville Centre, NY 11570-3701 2020-07-28
1124636188 Shannon Maureen O'connell Physician Assistant 270-05 270th Ave, New Hyde Park, NY 11040 2020-07-16
1841818895 Yanick Dugue Physician Assistant 4 Lincoln Ave, New Hyde Park, NY 11040-3125 2020-07-07
1194340505 Kayleigh Marie Tourt Physician Assistant 222 Alexander St Fl 4, Rochester, NY 14607-4039 2020-06-11
1023638509 Kristina Rajic Physician Assistant 7237 66th Dr, Flushing, NY 11379-2111 2020-04-24
1114547791 Michele Hein Physician Assistant 700 Veterans Memorial Hwy, Hauppauge, NY 11788-2952 2020-04-23
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Competitor

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City NORWICH
Zip Code 13815

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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