Marygrace E Colucci, NP | |
1703 Merrick Ave, Merrick, NY 11566-1628 | |
(516) 378-3311 | |
(516) 546-1517 |
Full Name | Marygrace E Colucci |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 1703 Merrick Ave, Merrick, 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 |
---|---|---|---|
1073009601 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | F341074-1 (New York) | Primary |
Entity Name | Chs Physician Partners Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164585725 PECOS PAC ID: 7618955667 Enrollment ID: O20040708000027 |
Mailing Address | Practice Location Address |
---|---|
Marygrace E Colucci, NP 270 Twin Ln E, Wantagh, NY 11793-1963 Ph: (917) 774-9152 | Marygrace E Colucci, NP 1703 Merrick Ave, Merrick, NY 11566-1628 Ph: (516) 378-3311 |
Dana Ahern Flick, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2119 Merrick Rd, Merrick, NY 11566 Phone: 516-377-2820 | |
Sumra Khan, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 31 Merrick Ave Ste 10, Merrick, NY 11566 Phone: 516-771-9797 | |
Galia Bagdasarov, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2079 Lawry Ln, Merrick, NY 11566 Phone: 516-851-0817 | |
Mr. Michael C Poliseno, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2094 Merrick Ave, Merrick, NY 11566 Phone: 516-375-5904 Fax: 516-804-2784 | |
Mrs. Christina Scavo, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 31 Merrick Ave Ste 10, Merrick, NY 11566 Phone: 516-776-8062 Fax: 888-608-7845 | |
Mrs. Lisamarie Lapoma, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 150 Hewlett Ave, Merrick, NY 11566 Phone: 516-379-4900 |