Provider Demographics
NPI:1871553339
Name:MUSEUMS, RHONDA F (RNNP-C)
Entity type:Individual
Prefix:
First Name:RHONDA
Middle Name:F
Last Name:MUSEUMS
Suffix:
Gender:F
Credentials:RNNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:5700 W GENESEE ST
Mailing Address - Street 2:STE 229
Mailing Address - City:CAMILLUS
Mailing Address - State:NY
Mailing Address - Zip Code:13031-3200
Mailing Address - Country:US
Mailing Address - Phone:315-303-5659
Mailing Address - Fax:315-303-5887
Practice Address - Street 1:8280 WILLETT PARKWAY,
Practice Address - Street 2:SUITE 101
Practice Address - City:BALDWINSVILLE
Practice Address - State:NY
Practice Address - Zip Code:13027
Practice Address - Country:US
Practice Address - Phone:315-303-5659
Practice Address - Fax:315-303-5887
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-27
Last Update Date:2017-12-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NYF330258207Q00000X
NY371208363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02508794Medicaid
NYS97303Medicare UPIN
NYBB8816Medicare PIN