Amanda G Smith, | |
25 Willowbrook Rd, Queensbury, NY 12804-5882 | |
(518) 926-7100 | |
Not Available |
Full Name | Amanda G Smith |
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Gender | Female |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 25 Willowbrook Rd, Queensbury, 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 |
---|---|---|---|
1861112757 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 668433 (New York) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 403565 (New York) | Primary |
Entity Name | Behavioral Health Services North, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689621468 PECOS PAC ID: 3173511557 Enrollment ID: O20040504001084 |
Mailing Address | Practice Location Address |
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Amanda G Smith, 25 Willowbrook Rd, Queensbury, NY 12804-5882 Ph: (518) 926-7100 | Amanda G Smith, 25 Willowbrook Rd, Queensbury, NY 12804-5882 Ph: (518) 926-7100 |
Ms. Christina Gow, NP, RN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 17 Main St, Queensbury, NY 12804 Phone: 518-798-0767 | |
Tatyana Poviliunas, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 25 Willowbrook Rd, Queensbury, NY 12804 Phone: 518-926-7200 | |
Judy A Podziewski, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 161 Carey Rd, Queensbury, NY 12804 Phone: 518-824-8610 Fax: 518-824-2390 | |
Patricia A Auer, DNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 161 Carey Rd, Queensbury, NY 12804 Phone: 518-824-8610 Fax: 518-824-2390 | |
Sean P Campanie, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 161 Carey Rd, Queensbury, NY 12804 Phone: 518-824-8610 Fax: 518-824-2390 | |
Felix Iyinbor Osawaru, Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 375 Bay Road, Assertive Community Treatment Team, Queensbury, NY 12804 Phone: 518-480-7870 | |
Heather Jane Richards, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 161 Carey Rd, Queensbury, NY 12804 Phone: 518-824-8610 Fax: 518-824-2390 |