Tellechea, Natasha A

Tellechea, Natasha A is an individual health care provider with primary practice located at 380 N Broadway Suite L2, Jericho NY 11753-2109. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Tellechea, Natasha A can be contacted via phone (516) 931-1776.

Contact Information

Primary practice address
380 N Broadway Suite L2 Jericho NY 11753-2109
Phone: (516) 931-1776
Fax: (516) 942-1940
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 212694 New York

Profile Details

NPI number 1154419687
LBN Legal business name Tellechea, Natasha A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 10th, 2006
Last updated Nov 12th, 2009 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154419687 NPPES
New York MEDICAID 01927324
New York Other 2C0540
New York Other 2H7541
New York Other 2699157
New York Other 5228760
New York Other P1842678

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