Jennifer Wandasiewicz, PNP | |
850 Fulton St Ste 4, Farmingdale, NY 11735-3601 | |
(516) 454-8525 | |
(516) 454-8130 |
Full Name | Jennifer Wandasiewicz |
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Gender | Female |
Speciality | Nurse Practitioner - Pediatrics |
Location | 850 Fulton St Ste 4, Farmingdale, 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 |
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1598116972 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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363LP0200X | Nurse Practitioner - Pediatrics | 382643 (New York) | Primary |
Entity Name | Stony Brook Children's Service, University Faculty Practice Corporatio |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083660575 PECOS PAC ID: 8921993551 Enrollment ID: O20040220000822 |
Mailing Address | Practice Location Address |
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Jennifer Wandasiewicz, PNP 850 Fulton St Ste 4, Farmingdale, NY 11735-3601 Ph: (516) 454-8525 | Jennifer Wandasiewicz, PNP 850 Fulton St Ste 4, Farmingdale, NY 11735-3601 Ph: (516) 454-8525 |
Mrs. Elizabeth M Guerrier, ANP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 110 Bi County Blvd, Suite 114, Farmingdale, NY 11735 Phone: 631-828-7412 | |
Kathia Duverne-douyon, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2 Kayla Dr, Farmingdale, NY 11735 Phone: 917-817-3640 | |
Danielle Charette, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 46 Spielman Ave, Farmingdale, NY 11735 Phone: 203-509-8348 | |
Sofia Marie Reyes, ANP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 100 Broadhollow Road, Suite 106, Farmingdale, NY 11735 Phone: 631-693-6644 Fax: 631-693-4389 | |
Mrs. Linda Marie Deleo, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 41 Clifton St, Farmingdale, NY 11735 Phone: 516-753-3951 | |
Susan Padmini Harricharran, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 21 James St, Farmingdale, NY 11735 Phone: 516-523-2388 | |
Tossica Tekeisha Mckinnon, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 22 Eagle Ln Fl 1, Farmingdale, NY 11735 Phone: 347-432-9470 |