Grace Couch, FNP | |
865 Northern Blvd, Great Neck, NY 11021-5335 | |
(516) 622-5114 | |
Not Available |
Full Name | Grace Couch |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 865 Northern Blvd, Great Neck, 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 |
---|---|---|---|
1073296224 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | F352163-01 (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 |
---|---|
Grace Couch, FNP 24079 67th Ave, Douglaston, NY 11362-1926 Ph: (718) 869-4356 | Grace Couch, FNP 865 Northern Blvd, Great Neck, NY 11021-5335 Ph: (516) 622-5114 |
Cindy Queliza, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 805 Northern Blvd, Great Neck, NY 11021 Phone: 516-614-1160 | |
Tiffany Elizabeth Aromolo, MS, APRN, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 225 Community Dr Rm 110, Great Neck, NY 11021 Phone: 516-918-4800 | |
Sarah Haseney, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 865 Northern Blvd, Great Neck, NY 11021 Phone: 516-622-5155 | |
Blayne Manning, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 225 Community Dr, #110, Great Neck, NY 11021 Phone: 516-918-4388 | |
Yuna Zyskind, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 51 Great Neck Rd, Great Neck, NY 11021 Phone: 516-829-4100 | |
Elissa Michelle Martin, ANP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 310 E Shore Rd Ste 104, Great Neck, NY 11023 Phone: 516-829-9550 |