Mrs Diane Linda Gardner, CRNA | |
101 Nicolls Rd, Stony Brook, NY 11794-5045 | |
(631) 402-3060 | |
Not Available |
Full Name | Mrs Diane Linda Gardner |
---|---|
Gender | Female |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 24 Years |
Location | 101 Nicolls Rd, Stony Brook, New York |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1700804929 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 0024164689 (Virginia) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 434658 (New York) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
North Shore - Lij Anesthesiology, Pc | 1153602453 | 796 |
Entity Name | Judah Schorr Md Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528160421 PECOS PAC ID: 5799674198 Enrollment ID: O20040420001228 |
Entity Name | North Shore - Lij Anesthesiology, Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417401266 PECOS PAC ID: 1153602453 Enrollment ID: O20161228001498 |
Mailing Address | Practice Location Address |
---|---|
Mrs Diane Linda Gardner, CRNA 22 Wildflower Dr, Kings Park, NY 11754-5046 Ph: (631) 402-3460 | Mrs Diane Linda Gardner, CRNA 101 Nicolls Rd, Stony Brook, NY 11794-5045 Ph: (631) 402-3060 |
Joreene Jasmin, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: Health Science Tower, Level 4 Room 060, Stony Brook, NY 11794 Phone: 305-609-7617 | |
Lauren Logue, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 101 Nicolls Rd, Stony Brook, NY 11794 Phone: 631-444-2975 | |
Caitlin Janosick, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 101 Nicolls Rd, Stony Brook, NY 11794 Phone: 631-689-8333 | |
Mrs. Valerie Capozzoli, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: Stony Brook University Hospital, Stony Brook, NY 11794 Phone: 631-708-6196 Fax: 631-589-2021 | |
Dr. Jason David, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 101 Nicolls Rd, Stony Brook, NY 11794 Phone: 631-689-8333 | |
Stephen Quiery, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 24 Old Wood Rd, Stony Brook, NY 11790 Phone: 631-356-4590 | |
Ashley Zarkowski, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 101 Nicolls Rd, Stony Brook, NY 11794 Phone: 631-444-4000 |