Lauren Kelly Fanning, NP | |
1101 Hempstead Tpke, Uniondale, NY 11553-1112 | |
(212) 610-0497 | |
(212) 717-3519 |
Full Name | Lauren Kelly Fanning |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 1101 Hempstead Tpke, Uniondale, 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 |
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1013659879 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 348442 (New York) | Primary |
Entity Name | Memorial Neurology Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538130190 PECOS PAC ID: 4688563000 Enrollment ID: O20040313000171 |
Entity Name | Msk Nassau |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053875229 PECOS PAC ID: 8628311685 Enrollment ID: O20190522000541 |
Mailing Address | Practice Location Address |
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Lauren Kelly Fanning, NP 1101 Hempstead Tpke, Uniondale, NY 11553-1112 Ph: (212) 610-0497 | Lauren Kelly Fanning, NP 1101 Hempstead Tpke, Uniondale, NY 11553-1112 Ph: (212) 610-0497 |
Mr. Jean Philippe Luc, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 410 Locus Ave, Uniondale, NY 11553 Phone: 516-445-5588 | |
Mr. Craig Richard Robinson, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1236 Rxr Plaza, Uniondale, NY 11556 Phone: 516-252-3939 Fax: 516-640-5757 | |
Danielle Moses, ANP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 680 Martin Dr, Uniondale, NY 11553 Phone: 516-282-6800 | |
Katiana Edouard, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 196 Valcour Ave, Uniondale, NY 11553 Phone: 516-254-1068 | |
Holly Cooney, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 70 Charles Lindbergh Blvd., Suite 100, Uniondale, NY 11553 Phone: 516-483-2020 Fax: 516-560-1855 | |
Judy S Brustein, RN, CHPN, MS, GNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 50 Charles Lindbergh Blvd, Suite 206, Uniondale, NY 11553 Phone: 866-662-4560 Fax: 480-907-2108 |