Lillian Ann Blaszcyk, FNP-BC | |
57190 Main Rd, Southold, NY 11971-4750 | |
(631) 626-1006 | |
Not Available |
Full Name | Lillian Ann Blaszcyk |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 57190 Main Rd, Southold, 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 |
---|---|---|---|
1184239014 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | F346129-01 (New York) | Primary |
Entity Name | Medical House Calls Of The North Fork, Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083009476 PECOS PAC ID: 3870895915 Enrollment ID: O20160107000283 |
Mailing Address | Practice Location Address |
---|---|
Lillian Ann Blaszcyk, FNP-BC 20 Jerome Rd, Sound Beach, NY 11789-1947 Ph: (631) 495-4397 | Lillian Ann Blaszcyk, FNP-BC 57190 Main Rd, Southold, NY 11971-4750 Ph: (631) 626-1006 |
Ms. Nordea Eloina Harrison-bailey, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 57190 Main Rd, Southold, NY 11971 Phone: 631-626-1006 | |
Kathleen Rene, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 57190 Main Rd, Southold, NY 11971 Phone: 631-626-1006 | |
Christian Witherell, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 19995 Soundview Ave, Southold, NY 11971 Phone: 631-335-5541 | |
Marcela I Schiappacasse, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 57190 Main Rd, Southold, NY 11971 Phone: 631-626-1006 | |
Malynda Boyle, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 44360 County Route 48, Southold, NY 11971 Phone: 631-734-8742 | |
Joan Marcy Benken, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 250 Hobart Rd, Southold, NY 11971 Phone: 631-765-5619 |