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Individual

DR. NATASHA A TELLECHEA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
380 N BROADWAY, SUITE L2, JERICHO, NY 11753-2109
(516) 931-1776
(516) 942-1940
Mailing address
68 S SERVICE RD, SUITE 350, MELVILLE, NY 11747-2354
(516) 945-3000
(516) 945-3131

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
212694
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01927324
NY
01
2699157
GHI
NY
01
2C0540
HEALTH NET
NY
01
2H7541
EMPIRE BC/BS
NY
01
5228760
AETNA
NY
01
P1842678
OXFORD
NY
Enumeration date
10/10/2006
Last updated
11/12/2009
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