Kendall Godt, | |
2539 Middle Country Rd, Centereach, NY 11720-3551 | |
(631) 737-6434 | |
Not Available |
Full Name | Kendall Godt |
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Gender | Female |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 2539 Middle Country Rd, Centereach, 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 |
---|---|---|---|
1487338406 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 796294 (New York) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | F405021-01 (New York) | Primary |
Entity Name | Aldad Medical Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174784953 PECOS PAC ID: 9234291436 Enrollment ID: O20081223000175 |
Entity Name | Eric Spronz, Psychiatric Nurse Practitioner P.c. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063029411 PECOS PAC ID: 5092121855 Enrollment ID: O20210303001459 |
Mailing Address | Practice Location Address |
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Kendall Godt, 645 Belle Terre Rd Apt 76, Port Jefferson, NY 11777-1943 Ph: (631) 848-9213 | Kendall Godt, 2539 Middle Country Rd, Centereach, NY 11720-3551 Ph: (631) 737-6434 |
Amy Galgano, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 35 Main Ave, Centereach, NY 11720 Phone: 631-741-6571 | |
Miss Lindsey Freking, PMHNP, RN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2539 Middle Country Rd, Centereach, NY 11720 Phone: 631-737-6434 Fax: 631-738-1226 | |
Katlin May Enriquez, AGNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4 Rosa Ct, Centereach, NY 11720 Phone: 631-335-7077 | |
Marie Jean Schwarz, NPP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 2539 Middle Country Rd, Suite 4, Centereach, NY 11720 Phone: 631-737-6434 Fax: 631-738-1226 | |
Krista Ann Moss, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2539 Middle Country Rd, Centereach, NY 11720 Phone: 631-737-6434 Fax: 631-738-1226 | |
Julia Motl, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 23 S Howell Ave Ste G, Centereach, NY 11720 Phone: 631-786-4977 | |
Amber Fales, ACRN, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 98 Wood Rd, Centereach, NY 11720 Phone: 631-487-6771 |