Jeannette A Blaha, CRNA | |
333 Route 25a Ste 225, Rocky Point, NY 11778-8802 | |
(631) 744-3671 | |
Not Available |
Full Name | Jeannette A Blaha |
---|---|
Gender | Female |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 333 Route 25a Ste 225, Rocky Point, 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 |
---|---|---|---|
1104917491 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 423503-1 (New York) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 423503 (New York) | Primary |
Entity Name | Long Island Anesthesia Physicians Llp |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952387276 PECOS PAC ID: 7113825381 Enrollment ID: O20040106000103 |
Entity Name | Quality Certified Registered Nurse Anesthetist Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881050383 PECOS PAC ID: 5991001059 Enrollment ID: O20160316000196 |
Entity Name | North Shore - Lij Anesthesiology, Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417401266 PECOS PAC ID: 1153602453 Enrollment ID: O20161228001498 |
Entity Name | North Fork Surgery Center Llc |
---|---|
Entity Type | Part B Supplier - Ambulatory Surgical Center |
Entity Identifiers | NPI Number: 1295365864 PECOS PAC ID: 3870922537 Enrollment ID: O20200331002185 |
Entity Name | North Fork Surgery Center Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275134314 PECOS PAC ID: 3870922537 Enrollment ID: O20201217000869 |
Mailing Address | Practice Location Address |
---|---|
Jeannette A Blaha, CRNA 333 Route 25a Ste 225, Rocky Point, NY 11778-8802 Ph: (631) 744-3671 | Jeannette A Blaha, CRNA 333 Route 25a Ste 225, Rocky Point, NY 11778-8802 Ph: (631) 744-3671 |
Galo Burbano, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 333 Route 25a, Suite 225, Rocky Point, NY 11778 Phone: 631-744-0396 | |
Kaitlyn Margaret Bonser, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 333 Route 25a Ste 225, Rocky Point, NY 11778 Phone: 631-503-1400 | |
Leonard A Goldberg, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 333 Route 25a Ste 225, Rocky Point, NY 11778 Phone: 631-744-0396 | |
Michael V Lampasona, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 333 Route 25a, Suite 225, Rocky Point, NY 11778 Phone: 631-744-3671 Fax: 631-744-6205 | |
Laura A George, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 333 Route 25a Ste 225, Rocky Point, NY 11778 Phone: 631-744-0396 | |
Colleen Erbis, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 333 Route 25a, Rocky Point, NY 11778 Phone: 631-744-3671 Fax: 631-744-6205 | |
Alison M Maletta, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 333 Route 25a Ste 225, Rocky Point, NY 11778 Phone: 631-744-0396 |