MEDICARE: TRESHIA-ANN MCDONALD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LA2200X	Adult Health Nurse Practitioner	F306815-1	NY
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	F408637-01	NY

General Provider Information

NPI Number	:	1720484595
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TRESHIA-ANN MCDONALD

Provider Business Mailing Address
First Line	:	127 BENSON AVE
Second Line	:
City	:	ELMONT
State	:	NY
Zip	:	11003-2307
Country	:	US
Telephone Number	:	516-424-0935
Fax Number	:

Provider Business Practice Location Address
First Line	:	127 BENSON AVE
Second Line	:
City	:	ELMONT
State	:	NY
Zip	:	11003-2307
Country	:	US
Telephone Number	:	516-424-0935
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/06/2014
Last Update Date	:	06/19/2026

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Directions to “ TRESHIA-ANN MCDONALD ” Practice Location

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