Mai Mona Rasoully, NP | |
63 Shaker Rd Ste G01, Albany, NY 12204-1030 | |
(518) 429-2561 | |
Not Available |
Full Name | Mai Mona Rasoully |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 63 Shaker Rd Ste G01, Albany, 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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1841546355 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | F337415-1 (New York) | Primary |
Entity Name | St. Peter's Health Partners Medical Associates, P.c. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750626834 PECOS PAC ID: 6103061189 Enrollment ID: O20130321000567 |
Entity Name | Albany Medical College |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629491329 PECOS PAC ID: 1759293111 Enrollment ID: O20140617000347 |
Entity Name | Albany Medical College |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497921688 PECOS PAC ID: 1759293111 Enrollment ID: O20190320001621 |
Mailing Address | Practice Location Address |
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Mai Mona Rasoully, NP Po Box 14890, Albany, NY 12212-4890 Ph: (518) 525-5634 | Mai Mona Rasoully, NP 63 Shaker Rd Ste G01, Albany, NY 12204-1030 Ph: (518) 429-2561 |
Denise Ayers, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 75 New Scotland Ave, Albany, NY 12208 Phone: 518-447-9611 | |
Natalia Gyorke, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 121 Everett Rd, Albany, NY 12205 Phone: 518-453-9088 Fax: 518-689-6111 | |
Ms. Veronica Elaine Striffler, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1375 Washington Ave Ste 101, Albany, NY 12206 Phone: 518-438-4483 Fax: 518-482-4201 | |
Courtney Cassandra Peck, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6 Executive Park Dr, Albany, NY 12203 Phone: 518-641-6319 Fax: 518-641-6850 | |
Ms. Susan E Macknair, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 62 Hackett Blvd, Albany, NY 12209 Phone: 518-465-3318 Fax: 518-272-7458 | |
Robin M Gray, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 47 New Scotland Ave, Albany, NY 12208 Phone: 518-262-3480 Fax: 518-262-0135 | |
Kelly Irwin Pagnotti, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 315 S Manning Blvd, Albany, NY 12208 Phone: 518-525-1550 |