Chenelle Grant, | |
2857 Jerusalem Ave, Wantagh, NY 11793-2018 | |
(516) 785-2783 | |
Not Available |
Full Name | Chenelle Grant |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 2857 Jerusalem Ave, Wantagh, 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 |
---|---|---|---|
1801441399 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 344832 (New York) | Primary |
Entity Name | Northwell Healthcare Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215019500 PECOS PAC ID: 3971531039 Enrollment ID: O20070215000718 |
Mailing Address | Practice Location Address |
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Chenelle Grant, 2857 Jerusalem Ave, Wantagh, NY 11793-2018 Ph: () - | Chenelle Grant, 2857 Jerusalem Ave, Wantagh, NY 11793-2018 Ph: (516) 785-2783 |
Diana Duvivier, NP-BC, DNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3408 Park Ave, Wantagh, NY 11793 Phone: 516-221-2123 Fax: 516-221-2124 | |
Mrs. Sara Isabel Devita, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2857 Jerusalem Ave, Wantagh, NY 11793 Phone: 516-785-2783 Fax: 516-785-2584 | |
Gretchen E Kretkowski-rieger, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1400 Wantagh Ave, Wantagh, NY 11793 Phone: 631-321-7011 | |
Ashley Affrunti, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1754 Roland Ave, Wantagh, NY 11793 Phone: 516-972-7565 | |
Ellen L Dombrowski, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2587 Jerusalem Ave, Wantagh, NY 11793 Phone: 516-785-2783 Fax: 516-785-2584 | |
Kim Elaine Backman, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2079 Wantagh Ave Ste 4, Wantagh, NY 11793 Phone: 516-244-6968 | |
Deborah Cosgrove, NPP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3375 Park Ave, Suite 3007, Wantagh, NY 11793 Phone: 516-785-5544 Fax: 515-785-5570 |