Mr Kyle O'rourke, NP | |
147 Lake St, Newburgh, NY 12550-5263 | |
(845) 563-8000 | |
Not Available |
Full Name | Mr Kyle O'rourke |
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Gender | Male |
Speciality | Nurse Practitioner - Family |
Location | 147 Lake St, Newburgh, 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 |
---|---|---|---|
1467972422 | NPI | - | NPPES |
07451361 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 350041 (New York) | Primary |
Entity Name | Progressive Care Medical Group Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295263796 PECOS PAC ID: 7113298209 Enrollment ID: O20170808002403 |
Entity Name | Hudson Valley Regional Community Health Centers, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477051589 PECOS PAC ID: 3779845284 Enrollment ID: O20180321002010 |
Mailing Address | Practice Location Address |
---|---|
Mr Kyle O'rourke, NP 2570 Route 9w Ste 10, Cornwall, NY 12518-1370 Ph: (845) 220-3100 | Mr Kyle O'rourke, NP 147 Lake St, Newburgh, NY 12550-5263 Ph: (845) 563-8000 |
Mrs. Theodean Smith-lawrence, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 147 Lake St, Newburgh, NY 12550 Phone: 845-563-8000 | |
Amber Campbell, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 12 Hdsn Vly Prof Plz, Newburgh, NY 12550 Phone: 845-561-1581 | |
Hugh L.a Mckenzie, NPP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 225 S Plank Rd Ste 2, Newburgh, NY 12550 Phone: 845-610-5198 Fax: 845-259-1223 | |
Christine Therese Rohan, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8 Orchard Heights Dr, Newburgh, NY 12550 Phone: 845-787-4096 | |
Michael Andrew Ciaffone, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 407 Gidney Ave, Suite B, Newburgh, NY 12550 Phone: 845-561-7075 | |
Mrs. Noelle Mary Ziemins, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 147 Lake St, Newburgh, NY 12550 Phone: 845-563-8000 | |
Theresa Marie Clearwater, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1200 Route 300, Newburgh, NY 12550 Phone: 845-703-6999 Fax: 845-703-6297 |