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Dominica Tecza

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

475 Seaview Ave, Staten Island, NY 10305-3436

PECOS Enrollment

Based on the most recent information from CMS, provider Dominica Tecza is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 6 days ago.

Profile Details

Provider ID
1407500838
Provider Type
Individual
Full Name
Tecza, Dominica
Credential
PA-C

Gender
Female
Sole Proprietor
No
Enumeration Date
2/4/2022
Last Updated
6/7/2023

Contact Information

Practice Location

475 Seaview Ave, Staten Island, NY 10305-3436

(718) 226-9000

Unlisted Fax

Mailing Location

28 Bay 13th St, Brooklyn, NY 11214-3614

(347) 525-7975

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363A00000X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License Unlisted Issuer New York

Dominica Tecza

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Yeung, Tszman

Mendoza, Patricia Ann

Jacob, Stacy

Bruccoleri, Adam R

Calcutta, Samantha

Morales, Laisha Abigail

Castro, Cecilia R

Dweck, Virginia Sophia

Raineri, Caterina O

Youssef, Olivia Mary