Mary Cable, NP | |
155 Crystal Run Rd, Middletown, NY 10941-4028 | |
(845) 703-6999 | |
(845) 703-6297 |
Full Name | Mary Cable |
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Gender | Female |
Speciality | Nurse Practitioner - Adult Health |
Location | 155 Crystal Run Rd, Middletown, 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 |
---|---|---|---|
1336131952 | NPI | - | NPPES |
01992727 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | F302534 (New York) | Secondary |
363LA2200X | Nurse Practitioner - Adult Health | F302534 (New York) | Primary |
Entity Name | Crystal Run Healthcare Physicians Llp |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952376410 PECOS PAC ID: 6901792696 Enrollment ID: O20040227000791 |
Mailing Address | Practice Location Address |
---|---|
Mary Cable, NP 155 Crystal Run Rd, Middletown, NY 10941-4028 Ph: (845) 703-6999 | Mary Cable, NP 155 Crystal Run Rd, Middletown, NY 10941-4028 Ph: (845) 703-6999 |
Lisa Thayer, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 155 Crystal Run Rd, Middletown, NY 10941 Phone: 845-703-6999 Fax: 845-703-6297 | |
Ms. Meleta Marie Taylor, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 155 Crystal Run Rd, Middletown, NY 10941 Phone: 845-703-6999 | |
Katherine Grace Mcdonald, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 155 Crystal Run Rd, Middletown, NY 10941 Phone: 845-703-6999 Fax: 845-703-6297 | |
Mr. Nearco Rodriguez, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 707 E Main St, Middletown, NY 10940 Phone: 845-333-7575 Fax: 845-333-7139 | |
Ms. Heather Elizabeth Guinan-clark, MS, MPH, APRN, BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 155 Crystal Run Rd, Middletown, NY 10941 Phone: 845-703-6999 Fax: 845-703-6297 | |
Erin Tondini, F-NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 111 Maltese Dr, Middletown, NY 10940 Phone: 845-342-4774 | |
Deborah Sherman, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 95 Crystal Run Rd, Middletown, NY 10941 Phone: 845-703-6999 Fax: 845-703-6297 |