Mr Richard Alexander Groll, PMHNP | |
3709 20th Rd, Astoria, NY 11105-1624 | |
(347) 531-0987 | |
Not Available |
Full Name | Mr Richard Alexander Groll |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 3 Years |
Location | 3709 20th Rd, Astoria, New York |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1255838199 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 701891 (New York) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 403406 (New York) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Long Island Consultation Center Inc | 8729068622 | 22 |
Entity Name | Metropolitan Center For Mental Health Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275695371 PECOS PAC ID: 6709798978 Enrollment ID: O20031105000310 |
Entity Name | Long Island Consultation Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295878577 PECOS PAC ID: 8729068622 Enrollment ID: O20040721001568 |
Mailing Address | Practice Location Address |
---|---|
Mr Richard Alexander Groll, PMHNP 3709 20th Rd, Astoria, NY 11105-1624 Ph: (347) 531-0987 | Mr Richard Alexander Groll, PMHNP 3709 20th Rd, Astoria, NY 11105-1624 Ph: (347) 531-0987 |
Laurita Hidalgo, ACNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3416 34th St, Apt 3f, Astoria, NY 11106 Phone: 212-241-5533 | |
Audrey Duffy, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2710 30th Ave, #la, Astoria, NY 11102 Phone: 718-932-9870 Fax: 718-932-9878 | |
Ms. Dianne Edwina Cavanaugh, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2510 30th Ave, Mount Sinai Hospital Queens, Astoria, NY 11102 Phone: 718-932-1000 | |
John O' Leary, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4904 19th Ave, Astoria, NY 11105 Phone: 718-777-3494 | |
Kerstin Connaire, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2510 30th Ave, Astoria, NY 11102 Phone: 718-932-1000 | |
Dafina Naydenova, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2180 33rd Rd Apt 7c, Astoria, NY 11106 Phone: 917-400-8466 | |
Sherelle Dodson, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2715 30th Ave, Astoria, NY 11102 Phone: 718-502-3903 |