MEDICARE: TONYAH BELL NP

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	163W00000X	Registered Nurse	732701	NY
2	363LF0000X	Family Nurse Practitioner	360181	NY

General Provider Information

NPI Number	:	1770050445
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TONYAH BELL NP

Provider Business Mailing Address
First Line	:	1051 CRAFT RD
Second Line	:
City	:	ITHACA
State	:	NY
Zip	:	14850-1016
Country	:	US
Telephone Number	:	607-257-1107
Fax Number	:	607-257-0369

Provider Business Practice Location Address
First Line	:	1051 CRAFT RD
Second Line	:
City	:	ITHACA
State	:	NY
Zip	:	14850-1016
Country	:	US
Telephone Number	:	607-257-1107
Fax Number	:	607-257-0369

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

Provider Enumeration Date	:	10/31/2018
Last Update Date	:	06/15/2026

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