Tara Deitrick is a Mineola, New York based nurse anesthetist with 45 years of experience as Anesthesia Administration. She completed she graduation in 1980. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Tara Deitrick is 9330 for Anesthesia Administration in New York. Her current practice location is 259 1st St, Mineola. Patients can reach her at 516-741-0570 or can fax her at 516-741-8276. Tara Deitrick with specialization in Anesthesia Administration and she NPI number (Unique professional ID assigned by NPPES) is 1497855704. Tara Deitrick is a certified registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists.
Complete Profile:
Tara Deitrick speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Anesthesia Administration
Experience:
45+ years
Medical School Attended:
Other
Graduation Year:
1980
Gender:
Female
Accepts Medicare Assignment:
Yes
Practice Address:
259 1st St, Mineola, New York, 11501-3957
Phone:
516-741-0570
Fax:
516-741-8276
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
8123200375
Enrollment ID:
I20110309000041
NPI Number:
1497855704
NPI Enumeration Date:
25 Sep, 2006
NPI Last Update On:
29 Nov, 2017
Medical Licenses:
Nurses can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Tara Deitrick are as mentioned below.
License Number
Specialization
State
Status
9330
Anesthesia Administration
New York
Primary
Group Practice:
Group practices are run by a group of physicians who share their premises and other resources. Following list states all the group name
with which Tara Deitrick has association with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Endoscopy Center Of Long Island Llc (2668370123)
18
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
17 Kenwood Rd, Garden City, New York
Zip:
11530-3034
Phone Number:
516-248-1420
Fax Number:
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Patients can reach Tara Deitrick at 259 1st St, Mineola, New York or can call to book an appointment on 516-741-0570.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 10 March, 2025.