Kristy Marie Raio, ANP | |
1920 Deer Park Ave Ste 104, Deer Park, NY 11729-3314 | |
(631) 392-1680 | |
Not Available |
Full Name | Kristy Marie Raio |
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Gender | Female |
Speciality | Nurse Practitioner - Adult Health |
Location | 1920 Deer Park Ave Ste 104, Deer Park, 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 |
---|---|---|---|
1225374333 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LA2200X | Nurse Practitioner - Adult Health | 306166 (New York) | Primary |
Entity Name | House Medical Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134768591 PECOS PAC ID: 2163859810 Enrollment ID: O20200219001727 |
Mailing Address | Practice Location Address |
---|---|
Kristy Marie Raio, ANP 35 Hickory Ave, Farmingville, NY 11738-1713 Ph: (631) 404-2399 | Kristy Marie Raio, ANP 1920 Deer Park Ave Ste 104, Deer Park, NY 11729-3314 Ph: (631) 392-1680 |
Dina Nicklas, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 84 Wright Ave, Deer Park, NY 11729 Phone: 631-241-5928 | |
Georgia Kelly-williams, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 52 Tiber Ave, Deer Park, NY 11729 Phone: 631-404-8843 | |
Catherine Stinsman, NURSE PRACTITIONER Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2005 Deer Park Ave, Deer Park, NY 11729 Phone: 631-243-6690 Fax: 631-595-1502 | |
Celeste Johnson, NURSE PRACTITIONER Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 151 Sammis Ave, Deer Park, NY 11729 Phone: 917-664-9932 | |
Desiree Inez Dennis, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1630 Deer Park Ave, Deer Park, NY 11729 Phone: 631-242-6166 | |
Jesslynn Mannino, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 375 Commack Rd, Deer Park, NY 11729 Phone: 631-940-0409 |