Jonathon Robert Holden, PMHNP | |
400 Sunrise Hwy, Amityville, NY 11701-2508 | |
(631) 264-4000 | |
Not Available |
Full Name | Jonathon Robert Holden |
---|---|
Gender | Male |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 400 Sunrise Hwy, Amityville, 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 |
---|---|---|---|
1497473748 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 718844 (New York) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 404393 (New York) | Primary |
Entity Name | The Long Island Home |
---|---|
Entity Type | Part B Supplier - Hospital Department(s) |
Entity Identifiers | NPI Number: 1821394016 PECOS PAC ID: 8224055108 Enrollment ID: O20110411000230 |
Mailing Address | Practice Location Address |
---|---|
Jonathon Robert Holden, PMHNP 400 Sunrise Hwy, Amityville, NY 11701-2508 Ph: (631) 264-4000 | Jonathon Robert Holden, PMHNP 400 Sunrise Hwy, Amityville, NY 11701-2508 Ph: (631) 264-4000 |
Sophia Palmer, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 11 Poplar Rd, Amityville, NY 11701 Phone: 631-464-2889 | |
Pamela Braglia, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 333 Broadway, Amityville, NY 11701 Phone: 631-789-2020 Fax: 631-789-5669 | |
Maria Dolores Valdez, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 51 The Blvd, Amityville, NY 11701 Phone: 631-245-3894 | |
Barbara Farrell, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 333 Broadway, Amityville, NY 11701 Phone: 631-789-2020 | |
Ms. Tamara Gordon, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 81 Louden Ave, Amityville, NY 11701 Phone: 631-789-7805 | |
Joseph P Saladino, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 400 Sunrise Hwy, Amityville, NY 11701 Phone: 631-264-4000 Fax: 631-264-5079 | |
Mrs. Joanna Drucker, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 400 Sunrise Hwy, Amityville, NY 11701 Phone: 631-608-5610 |