Mrs Stella Azuka Ikwuazom, NURSE PRACTITIONER | |
445 Spangle Dr, North Babylon, NY 11703-3719 | |
(631) 422-0698 | |
Not Available |
Full Name | Mrs Stella Azuka Ikwuazom |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 445 Spangle Dr, North Babylon, 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 |
---|---|---|---|
1740595677 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | F335724 (New York) | Primary |
Entity Name | The Long Island Home |
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Entity Type | Part B Supplier - Hospital Department(s) |
Entity Identifiers | NPI Number: 1821394016 PECOS PAC ID: 8224055108 Enrollment ID: O20110411000230 |
Mailing Address | Practice Location Address |
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Mrs Stella Azuka Ikwuazom, NURSE PRACTITIONER 445 Spangle Dr, North Babylon, NY 11703-3719 Ph: (631) 422-0698 | Mrs Stella Azuka Ikwuazom, NURSE PRACTITIONER 445 Spangle Dr, North Babylon, NY 11703-3719 Ph: (631) 422-0698 |
Lorraine Ivette Belevan, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 92 Drakeford Ave, North Babylon, NY 11703 Phone: 631-897-9897 | |
Nicolle A Bergin, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1231 Deer Park Ave, North Babylon, NY 11703 Phone: 631-667-0388 Fax: 631-968-7705 | |
Janaira J Tucker, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 561 Middle St, North Babylon, NY 11703 Phone: 347-650-5104 | |
Mrs. Julie Devuono, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 925 Deer Park Ave, North Babylon, NY 11703 Phone: 631-661-1200 | |
Francisca Owusu, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1560 August Rd, North Babylon, NY 11703 Phone: 516-444-7673 | |
Christopher Ventura, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1231 Deer Park Ave, North Babylon, NY 11703 Phone: 631-667-0388 Fax: 631-968-7705 | |
Melissa Pierre, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 300 Bayshore Road, North Babylon, NY 11703 Phone: 631-586-2700 Fax: 631-491-8613 |