Mrs Mary Reilly Mcgonagle, FNP | |
133 Park St, Malone, NY 12953-1243 | |
(518) 483-3000 | |
Not Available |
Full Name | Mrs Mary Reilly Mcgonagle |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 133 Park St, Malone, 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 |
---|---|---|---|
1528091436 | NPI | - | NPPES |
MM1392911 | Other | NY | DE A |
RB1161 | Other | ALICE HYDE MEDICAL CENTER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 334888 (New York) | Primary |
Entity Name | Alice Hyde Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114954682 PECOS PAC ID: 4082525837 Enrollment ID: O20031126000357 |
Entity Name | St Regis Mohawk Tribe |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457344558 PECOS PAC ID: 5799748547 Enrollment ID: O20041111000764 |
Mailing Address | Practice Location Address |
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Mrs Mary Reilly Mcgonagle, FNP 133 Park St, Malone, NY 12953-1243 Ph: (518) 483-3000 | Mrs Mary Reilly Mcgonagle, FNP 133 Park St, Malone, NY 12953-1243 Ph: (518) 483-3000 |
Lindsay Mills Holland, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 58 Elm St, Malone, NY 12953 Phone: 201-362-7902 | |
Shanelle Marie Smith, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 133 Park St, Cardiology Department, Malone, NY 12953 Phone: 518-481-2545 | |
Ms. Jessica Marie Robinson, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 133 Park St, Malone, NY 12953 Phone: 518-483-3000 | |
Eleanor Jane Laclair, ANP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 133 Park St, Malone, NY 12953 Phone: 518-483-3000 | |
Darlean James, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 183 Park St Ste 5678, Malone, NY 12953 Phone: 518-481-2801 | |
Miss Lorna Leah Jewell, NPP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 65 Park St, West Wing, Malone, NY 12953 Phone: 518-483-0454 Fax: 518-483-5567 | |
Ms. Stephanie Leffler, MS, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 183 Park Street, Suite 5, Malone, NY 12953 Phone: 518-483-0482 Fax: 518-483-6727 |