Mrs Marianne Marie Longo, | |
1200 E Ridgewood Ave, 2nd Floor, Ridgewood, NJ 07450-3957 | |
(201) 670-8660 | |
(201) 670-6693 |
Full Name | Mrs Marianne Marie Longo |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Location | 1200 E Ridgewood Ave, Ridgewood, New Jersey |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1104210301 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 26NJ00559700 (New Jersey) | Primary |
Entity Name | Valley Physician Services Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467815928 PECOS PAC ID: 3577857333 Enrollment ID: O20160802002824 |
Mailing Address | Practice Location Address |
---|---|
Mrs Marianne Marie Longo, 1200 E Ridgewood Ave, 2nd Floor, Ridgewood, NJ 07450-3957 Ph: (201) 670-8660 | Mrs Marianne Marie Longo, 1200 E Ridgewood Ave, 2nd Floor, Ridgewood, NJ 07450-3957 Ph: (201) 670-8660 |
Jennifer Polizzano, APN-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 223 N Van Dien Ave, Ridgewood, NJ 07450 Phone: 201-447-8345 Fax: 201-447-8103 | |
Kelly Rumler, APN-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 223 N Van Dien Ave, Ridgewood, NJ 07450 Phone: 201-447-8000 | |
Samantha Leigh Guillod, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 223 N Van Dien Ave, Ridgewood, NJ 07450 Phone: 201-447-8000 | |
Susan Bell, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 505 Goffle Rd, Ridgewood, NJ 07450 Phone: 201-612-1006 Fax: 201-612-1091 | |
Kimberly Michele Pryslak, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 223 N Van Dien Ave, Ridgewood, NJ 07450 Phone: 201-447-8000 | |
Mary Catherine Collins, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 223 N Van Dien Ave, Ridgewood, NJ 07450 Phone: 201-447-8371 |