Ana Park, | |
10 Medical Plz Ste 208, Glen Cove, NY 11542-2101 | |
(516) 674-1647 | |
Not Available |
Full Name | Ana Park |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 10 Medical Plz Ste 208, Glen Cove, 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 |
---|---|---|---|
1083353361 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 686204 (New York) | Secondary |
363LF0000X | Nurse Practitioner - Family | 350166 (New York) | Primary |
Entity Name | North Shore - Lij Medical Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053688572 PECOS PAC ID: 3375701568 Enrollment ID: O20120220000262 |
Mailing Address | Practice Location Address |
---|---|
Ana Park, 54 Central Park Rd, Plainview, NY 11803-2012 Ph: (646) 306-0081 | Ana Park, 10 Medical Plz Ste 208, Glen Cove, NY 11542-2101 Ph: (516) 674-1647 |
Bruce W Martin, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 101 Saint Andrews Ln, Glen Cove, NY 11542 Phone: 516-674-7461 | |
Daniel Giedt, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 113 Glen Cove Ave, Glen Cove, NY 11542 Phone: 516-676-2388 Fax: 516-759-5259 | |
Erin Macbride, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 101 Saint Andrews Ln, Glen Cove, NY 11542 Phone: 516-674-7201 | |
Jeffery Yin-tei Chen, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 101 Saint Andrews Ln, Glen Cove, NY 11542 Phone: 516-674-7300 | |
Sari Schwartz, PNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3 School St Ste 302, Glen Cove, NY 11542 Phone: 516-759-1234 | |
Caitlin Carpenter, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 101 Saint Andrews Ln, Glen Cove, NY 11542 Phone: 516-674-7300 | |
Maria Lyons-pellechia, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 101 Saint Andrews Ln, Glen Cove, NY 11542 Phone: 516-701-6772 |