MEDICARE: DR. M. JOYCELYNNE Y. TECSON MD

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	207L00000X	Anesthesiology Physician	ME92375	FL
2	207L00000X	Anesthesiology Physician	223429	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1023125168
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. M. JOYCELYNNE Y. TECSON MD

Provider Business Mailing Address
First Line	:	PO BOX 270
Second Line	:
City	:	MASSAPEQUA PARK
State	:	NY
Zip	:	11762-0270
Country	:	US
Telephone Number	:	631-264-2035
Fax Number	:

Provider Business Practice Location Address
First Line	:	2348 RICHMOND RD
Second Line	:
City	:	STATEN ISLAND
State	:	NY
Zip	:	10306-2346
Country	:	US
Telephone Number	:	718-987-3338
Fax Number	:	718-667-3043

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

Provider Enumeration Date	:	08/24/2006
Last Update Date	:	09/25/2009

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