Mark Thomas, | |
255 Executive Dr Ste 210b, Plainview, NY 11803-1711 | |
(833) 433-2273 | |
Not Available |
Full Name | Mark Thomas |
---|---|
Gender | Male |
Speciality | Nurse Practitioner - Family |
Location | 255 Executive Dr Ste 210b, Plainview, 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 |
---|---|---|---|
1649959487 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | F352368-01 (New York) | Primary |
Entity Name | Samaritan Medical Services Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124184544 PECOS PAC ID: 7012016009 Enrollment ID: O20070727000051 |
Entity Name | Infinite Medical Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407483175 PECOS PAC ID: 8325477656 Enrollment ID: O20200407002099 |
Mailing Address | Practice Location Address |
---|---|
Mark Thomas, 255 Executive Dr Ste 210b, Plainview, NY 11803-1711 Ph: (833) 433-2273 | Mark Thomas, 255 Executive Dr Ste 210b, Plainview, NY 11803-1711 Ph: (833) 433-2273 |
Jessy Mathew, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6 Roxton Rd, Plainview, NY 11803 Phone: 516-827-5191 | |
Mrs. Nitasha Ali-chojnowski, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 100 Manetto Hill Rd, Plainview, NY 11803 Phone: 516-931-7337 | |
Chinara Corey, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 131 E Ames Ct, Plainview, NY 11803 Phone: 516-414-6900 Fax: 516-307-8840 | |
Jiby Philip, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 22 Summit Ct, Plainview, NY 11803 Phone: 631-220-1765 | |
Miss Christina Moon, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 888 Old Country Rd, Plainview, NY 11803 Phone: 516-719-3000 | |
Josephine Antonio, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 524 Old Country Rd, Plainview, NY 11803 Phone: 516-931-3988 | |
Rachelle Derosena, WHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 131 E Ames Ct, Plainview, NY 11803 Phone: 516-414-6900 |