Candis Musgrave
Specialist in Jamaica, NY. Individual provider (NPI-1).
NPI number1669903407
StatusActive
Last updated in NPPESMar 23, 2017
Details
- NPI
- 1669903407
- Entity type
- Individual (NPI-1)
- Name
- Candis Musgrave
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 23, 2017
- Last updated
- Mar 23, 2017
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | 1815524 | NY | Yes |
Practice location
11143 180th StJamaica, NY 11433-4130
Phone 516-444-8728
Mailing address
11143 180th StJamaica, NY 11433-4130
Phone 516-444-8728
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 133 Specialist providers in Jamaica · All 6,245 providers in Jamaica
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