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NPI Code Detail

MEDICARE: MISS ERIN FECHTIG RN

MEDICARE: MISS ERIN FECHTIG RN
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
1163W00000XRegistered NurseN0474801NY

General Provider Information

NPI Number : 1053266593
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS ERIN FECHTIG RN
Provider Business Mailing Address
First Line : 81 PERIWINKLE RD
Second Line :
City : LEVITTOWN
State : NY
Zip : 11756-2325
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 197 HALF HOLLOW RD
Second Line :
City : DIX HILLS
State : NY
Zip : 11746-5859
Country : US
Telephone Number : 631-370-1700
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/02/2026
Last Update Date : 03/02/2026

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Directions to “ MISS ERIN FECHTIG RN” Practice Location

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