Allison Misa, | |
18 Hickory Ln, East Moriches, NY 11940-1456 | |
(516) 768-3144 | |
Not Available |
Full Name | Allison Misa |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 18 Hickory Ln, East Moriches, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1437833787 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | F352062-01 (New York) | Primary |
Entity Name | Long Island Select Healthcare, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043663107 PECOS PAC ID: 5991086225 Enrollment ID: O20161229000247 |
Mailing Address | Practice Location Address |
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Allison Misa, 18 Hickory Ln, East Moriches, NY 11940-1456 Ph: (516) 768-3144 | Allison Misa, 18 Hickory Ln, East Moriches, NY 11940-1456 Ph: (516) 768-3144 |
Danielle Marie Pollaro, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 41 Bay Ave, East Moriches, NY 11940 Phone: 631-878-1543 | |
Mr. Timothy Richard Dackow, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7 Newpoint Ln, East Moriches, NY 11940 Phone: 516-322-8850 | |
Regina G Muir, CPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 492 Montauk Hwy, East Moriches, NY 11940 Phone: 631-638-2900 Fax: 631-878-8083 | |
Dawn Rose Fallon, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 516 Montauk Hwy Ste 1e, East Moriches, NY 11940 Phone: 631-874-2900 | |
Krystie Leigh Kramer, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 41 Bay Ave, East Moriches, NY 11940 Phone: 631-878-1543 | |
Wendy Ann Geehreng, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 492 Montauk Highway, East Moriches, NY 11940 Phone: 631-638-2900 Fax: 631-878-8083 |