Kelly Heraghty, | |
1175 Montauk Hwy, West Islip, NY 11795-4939 | |
(631) 376-0001 | |
Not Available |
Full Name | Kelly Heraghty |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 1175 Montauk Hwy, West Islip, 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 |
---|---|---|---|
1609423821 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 344263 (New York) | Primary |
Entity Name | Island Gastroenterology Consultants Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174556963 PECOS PAC ID: 8921999079 Enrollment ID: O20040320000328 |
Mailing Address | Practice Location Address |
---|---|
Kelly Heraghty, 40 Kingfisher Rd, Levittown, NY 11756-2130 Ph: (516) 395-4465 | Kelly Heraghty, 1175 Montauk Hwy, West Islip, NY 11795-4939 Ph: (631) 376-0001 |
Maria Teresa Grubman, FAMILY NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: The Cancer Institute At Good Samaritan Hospital, 111 Beach Dr, West Islip, NY 11795 Phone: 631-417-8600 | |
Ashley Anne Hubbard, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 540 Union Blvd, West Islip, NY 11795 Phone: 631-669-2555 | |
Mrs. Kerri Greenrose, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1000 Montauk Hwy, West Islip, NY 11795 Phone: 631-376-4043 | |
Mrs. Michele Ahlers, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1000 Montauk Hwy, West Islip, NY 11795 Phone: 631-376-3000 | |
Mrs. Stephanie Vicchiarelli, AGNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1000 Montauk Hwy, West Islip, NY 11795 Phone: 631-252-2559 | |
Patricia Eileen Litwack, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1000 Montauk Hwy, West Islip, NY 11795 Phone: 631-376-3000 | |
Jennifer Davis, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1000 Montauk Hwy, West Islip, NY 11795 Phone: 631-376-3384 Fax: 631-376-4192 |