Type | Person | [sources] | |||
---|---|---|---|---|---|
Name | DAWN BURTCHELL FISHBACK · FISHBACK DAWN BURTCHELL RN | [sources] | |||
Birth date | [sources] | ||||
Nationality | not available | [sources] | |||
Country | United States of America | [sources] | |||
First name | DAWN | [sources] | |||
ID Number | 00502649 | [sources] | |||
Last name | FISHBACK | [sources] | |||
Middle name | BURTCHELL | [sources] | |||
NPI | 1790987600 | [sources] | |||
Sector | Registered Nurse | [sources] | |||
Position | NURSE/NURSES AIDE (IND- LIC HC SERV PRO) | [sources] | |||
Address | 25 HILLSIDE DRIVE, GENEVA, NY 14456 · GENEVA, NY 14456, USA | [sources] | |||
Last change | Last processed | First seen |
Medical providers deemed ineligible to participate in New York State's Medicaid program.
United States of America · OMIG
People and companies excluded from Federally funded health care programs
United States of America · OIG
A database of suppliers who have been excluded from participating in US federal procurement.
United States of America · GSA
us-medny-50d452841948b7163806a16253d7b05d4fcb7941
· us-fed-excl-dawn-burtchell-fishback-14456-geneva
For experts: raw data explorer
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United States of America | New York State Office of the Medicaid Inspector General | - | - |
United States of America | HHS | Reciprocal | - |