LORETTA LYNNE EDINGER


Address: 5-7 State Street, Tully, NY 13159-3218
Phone: 3156964635

LORETTA LYNNE EDINGER (NPI# 1235425372) 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) 1235425372
Entity Type Individual
Full Name LORETTA LYNNE EDINGER
Credential NP
Practice Address 5-7 State Street
Tully
NY 13159-3218
Mailing Address 1001 W Fayette St
Suite 400
Syracuse
NY 13204-2856
Practice Telephone 3156964635
Mailing Telephone 3154721488
Enumeration Date 2011-06-28
Last Update Date 2013-01-16
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
336816 NY Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
NY 03349997 05

Office Location

Street Address 5-7 STATE STREET
City TULLY
State NY
Zip Code 13159-3218

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1578053583 Colin Francis Rybak Pharmacist 596 U.S. Rt 11, Tully, NY 13159 2018-05-15
1275842304 Paula S Bush Registered Nurse 5957 Rt. 20 W, Lafayette, NY 13159 2010-10-07
1750581195 Jonathan William Biggar Registered Nurse 986 Route 11 North, Tully, NY 13159 2007-07-24
1447342803 John Cognato Pt PC Physical Therapist 505 Nys Route 281, Tully, NY 13159 2006-09-29
1992812176 Kph Healthcare Services, Inc. Pharmacy 596 Route 11, Tully, NY 13159 2006-08-24
1962724070 Sally F Beattie Pharmacist 596 Route 11, Tully, NY 13159 2010-02-17
1366602070 Charles Nicholas Pirro Nurse Practitioner 5821 Route 80, Tully, NY 13159 2008-06-16
1093999245 Rebecca Horn Pharmacist 596 Route 11, Tully, NY 13159 2007-12-24
1932392420 David Leonard Diliello Licensed Practical Nurse 560 Strong Rd, Tully, NY 13159-0000 2007-08-20
1174822191 Amanda Mae Walters Case Manager/Care Coordinator 38 State Street, Tully, NY 13159-0123 2011-03-16
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1730488321 Jan Mary Mead Nurse Practitioner 5697 Lake Rd, Tully, NY 13159-9412 2011-03-22
1114180510 Mary Elizabeth Bean Nurse Practitioner 5821 Route 80, Box 1116, Tully, NY 13159-1116 2008-07-07
1366602070 Charles Nicholas Pirro Nurse Practitioner 5821 Route 80, Tully, NY 13159 2008-06-16

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1396346136 Amarachukwu U Egbujor Nurse Practitioner 565 Pine St, Brooklyn, NY 11208-3901 2020-11-06
1568063378 Valerie Cantave Nurse Practitioner 152 Somerset Dr, Suffern, NY 10901-6904 2020-11-06
1366043259 Lora Hong Nurse Practitioner 55 Underhill Rd, Scarsdale, NY 10583-1040 2020-11-05
1235730102 Lane Marie Knight Nurse Practitioner 8145 Rapallo Way, Clay, NY 13041-8893 2020-11-05
1073114112 Karen Liu Nurse Practitioner 154 Bay 35th St, Brooklyn, NY 11214-5308 2020-11-04
1871194027 Wai Ying Chan Nurse Practitioner 659 Britton Ave, Staten Island, NY 10304-4463 2020-11-04
1063013258 Iris Massiel Garcia Nurse Practitioner 2206 Dr Martin L King Jr Blvd, Bronx, NY 10453-1307 2020-11-04
1104427525 Jeanine R Williams Nurse Practitioner 4213 Foster Ave, Brooklyn, NY 11203-5711 2020-11-03
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Competitor

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City TULLY
Zip Code 13159

Improve Information

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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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