Mary Jane Crisostomo, is a
Registered Nurse based in South Farmingdale, New York. Mary Jane Crisostomo is licensed to practice in New York (license number 487985) and her current practice location is
153 Crestwood Blvd, South Farmingdale, New York. She can be reached at her office (for appointments etc.) via phone at
(212) 688-9438.
NPI number for Mary Jane Crisostomo is 1871742999 and her current mailing address is 153 Crestwood Blvd, South Farmingdale, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1871742999.
Provider's Profile
Full Name | Mary Jane Crisostomo |
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Gender | Female |
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Speciality | Registered Nurse |
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Location | 153 Crestwood Blvd, South Farmingdale, New York |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1871742999
- Provider Enumeration Date: 09/12/2008
- Last Update Date: 01/14/2013
Medical Identifiers
Medical identifiers for Mary Jane Crisostomo such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1871742999 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163W00000X | Registered Nurse | 487985 (New York) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mary Jane Crisostomo is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mary Jane Crisostomo, 153 Crestwood Blvd, South Farmingdale, NY 11735-5811 Ph: (212) 688-9438 | Mary Jane Crisostomo, 153 Crestwood Blvd, South Farmingdale, NY 11735-5811 Ph: (212) 688-9438 |
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