Maria Civille, | |
4771 Hylan Blvd, Staten Island, NY 10312-6315 | |
(718) 948-8200 | |
Not Available |
Full Name | Maria Civille |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 4771 Hylan Blvd, Staten Island, 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 |
---|---|---|---|
1184179111 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 340526 (New York) | Primary |
Entity Name | Maimonides Faculty Practice Plan |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053344846 PECOS PAC ID: 7012808348 Enrollment ID: O20040324000597 |
Entity Name | Maimonides Cardiology Fpp |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477803385 PECOS PAC ID: 4688814809 Enrollment ID: O20130712000000 |
Mailing Address | Practice Location Address |
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Maria Civille, 55 Water St, 12th Floor, New York, NY 10041-0004 Ph: (646) 680-2888 | Maria Civille, 4771 Hylan Blvd, Staten Island, NY 10312-6315 Ph: (718) 948-8200 |
Miss Margery Ann Shane, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2627 Hylan Boulevard, Suite C, Staten Island, NY 10306 Phone: 718-351-1136 Fax: 718-667-9711 | |
Genevieve Spota, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 130 Rose Ave, Staten Island, NY 10306 Phone: 718-980-1553 | |
Daniella Otaiza, F.N.P Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5 Little Clove Rd, Staten Island, NY 10301 Phone: 718-876-9600 Fax: 718-876-7773 | |
Kristen Colandrea, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 475 Seaview Ave, Staten Island, NY 10305 Phone: 347-681-4146 | |
Alexis Rigo, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 475 Seaview Ave, Staten Island, NY 10305 Phone: 718-226-9000 | |
Alexandra Frances Manetta, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 73 Downes Ave, Staten Island, NY 10312 Phone: 718-517-0654 | |
Mrs. Amelia Tirado, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 139 Roe St, Staten Island, NY 10310 Phone: 718-720-6650 |