Mary Ann Fragola, ANPC | |
235 N Belle Mead Rd, E Setauket, NY 11733-3456 | |
(631) 751-3000 | |
(631) 675-2001 |
Full Name | Mary Ann Fragola |
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Gender | Female |
Speciality | Nurse Practitioner - Adult Health |
Location | 235 N Belle Mead Rd, E Setauket, 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 |
---|---|---|---|
1508862079 | NPI | - | NPPES |
02242859 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LA2200X | Nurse Practitioner - Adult Health | F303023 (New York) | Primary |
Entity Name | North Shore Hematology Oncology Associates Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396794574 PECOS PAC ID: 1456243641 Enrollment ID: O20040324001766 |
Mailing Address | Practice Location Address |
---|---|
Mary Ann Fragola, ANPC 235 N Belle Mead Rd, E Setauket, NY 11733-3456 Ph: (631) 751-3000 | Mary Ann Fragola, ANPC 235 N Belle Mead Rd, E Setauket, NY 11733-3456 Ph: (631) 751-3000 |
Kristina Demarco, ANPC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 235 N Belle Mead Rd, E Setauket, NY 11733 Phone: 631-751-3000 Fax: 631-751-3366 | |
Theresa Crafa, FNPC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 235 N Belle Mead Rd, E Setauket, NY 11733 Phone: 631-751-3000 Fax: 631-675-2001 | |
Janet Badalamenti, ANPC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 235 N Belle Mead Rd, E Setauket, NY 11733 Phone: 631-751-3000 Fax: 631-751-3366 |