Mrs Heather Colombo, NP | |
11 Orchard St, Port Jervis, NY 12771-2027 | |
(845) 672-3995 | |
Not Available |
Full Name | Mrs Heather Colombo |
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Gender | Female |
Speciality | Nurse Practitioner |
Location | 11 Orchard St, Port Jervis, 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 |
---|---|---|---|
1205416658 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 347558 (New York) | Primary |
Entity Name | Little Pediatrics Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932611340 PECOS PAC ID: 8224387972 Enrollment ID: O20180814002201 |
Mailing Address | Practice Location Address |
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Mrs Heather Colombo, NP 11 Orchard St, Port Jervis, NY 12771-2027 Ph: (845) 672-3995 | Mrs Heather Colombo, NP 11 Orchard St, Port Jervis, NY 12771-2027 Ph: (845) 672-3995 |
Beverly Jane Fernandez, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 160 E Main St, Port Jervis, NY 12771 Phone: 845-807-2239 | |
Sheri Succi, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 160 E Main St, Port Jervis, NY 12771 Phone: 845-858-7000 | |
Heather Jaeger, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 161 E Main St Ste 300, Port Jervis, NY 12771 Phone: 845-856-3284 Fax: 845-856-3306 | |
Margaret Mitchell, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 146 Pike St, Port Jervis, NY 12771 Phone: 845-544-4447 | |
Barbara Marie Marszalek, FPMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 146 Pike St, Port Jervis, NY 12771 Phone: 845-858-1456 | |
Mrs. Avion J Thomas-walsh, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 158 Pike St, Port Jervis, NY 12771 Phone: 845-672-4420 Fax: 949-655-5993 |