Kimberly Ann Riegel, | |
287 Wading River Road, Unit 2, Manorville, NY 11949-0989 | |
(631) 591-3000 | |
(631) 591-1734 |
Full Name | Kimberly Ann Riegel |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 287 Wading River Road, Manorville, 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 |
---|---|---|---|
1851417786 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | F334840 (New York) | Primary |
Entity Name | Mark J Coronel Md Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639445869 PECOS PAC ID: 5890958979 Enrollment ID: O20120530000365 |
Mailing Address | Practice Location Address |
---|---|
Kimberly Ann Riegel, 287 Wading River Road, Unit 2, Manorville, NY 11949 Ph: (631) 591-3000 | Kimberly Ann Riegel, 287 Wading River Road, Unit 2, Manorville, NY 11949-0989 Ph: (631) 591-3000 |
Bassey Ulo Enyenihi, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 287 Wading River Road, Suite 8, Manorville, NY 11949 Phone: 631-716-5410 | |
Ms. Tara Summer Carpenter, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 51 Beechwood Dr, Manorville, NY 11949 Phone: 631-295-6107 | |
Ms. Kerri Ann Petitpain, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 18 Scott Ln, Manorville, NY 11949 Phone: 631-905-6890 Fax: 888-920-2296 | |
James L Earl, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 496 County Rd 111, Bldg B, Manorville, NY 11949 Phone: 631-405-3200 Fax: 631-395-6010 | |
Maryjanine T Hausle, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 12 Pidgeon Ct, Manorville, NY 11949 Phone: 631-588-4810 Fax: 631-588-4810 |