Mrs Kelly Marie Ambrosino, | |
400 Park Ave, Huntington, NY 11743-3751 | |
(631) 261-3322 | |
Not Available |
Full Name | Mrs Kelly Marie Ambrosino |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 400 Park Ave, Huntington, 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 |
---|---|---|---|
1154031623 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | F350436 (New York) | Primary |
Entity Name | North Shore - Lij Medical Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053688572 PECOS PAC ID: 3375701568 Enrollment ID: O20120220000262 |
Mailing Address | Practice Location Address |
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Mrs Kelly Marie Ambrosino, 100 Nassau Rd Apt 1, Huntington, NY 11743-3682 Ph: (845) 264-1481 | Mrs Kelly Marie Ambrosino, 400 Park Ave, Huntington, NY 11743-3751 Ph: (631) 261-3322 |
Robert Mccallion, ANP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 175 East Main Street, Huntington, NY 11743 Phone: 631-424-3787 Fax: 631-427-0198 | |
Christine M Colacino, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: West Carver Medical Associates, 200 West Carver St., Huntington, NY 11743 Phone: 631-421-0020 Fax: 631-421-0688 | |
Andrea Schmitz, ANP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 270 Park Ave, Huntington, NY 11743 Phone: 631-351-2000 | |
Erin O'mahoney, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 270 Park Ave, Huntington, NY 11743 Phone: 631-351-2200 | |
Ms. Ruthellen Trimmer, NP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 270 Park Ave, Huntington, NY 11743 Phone: 631-351-2000 | |
Stephanie George Porter, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 270 Park Ave, Huntington, NY 11743 Phone: 631-351-2035 | |
Lauren Erin Mewshaw, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 634 Park Ave, Huntington, NY 11743 Phone: 631-377-5053 |