Ms Deborah Jerome, | |
4701 Queens Blvd, Sunnyside, NY 11104-1660 | |
(929) 483-2030 | |
Not Available |
Full Name | Ms Deborah Jerome |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 4701 Queens Blvd, Sunnyside, 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 |
---|---|---|---|
1831895788 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 350168 (New York) | Primary |
Entity Name | North Shore - Lij Medical Pc |
---|---|
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 |
---|---|
Ms Deborah Jerome, 4701 Queens Blvd, Sunnyside, NY 11104-1660 Ph: () - | Ms Deborah Jerome, 4701 Queens Blvd, Sunnyside, NY 11104-1660 Ph: (929) 483-2030 |
Taehyun Park, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4115 45th St Apt 3j, Sunnyside, NY 11104 Phone: 917-714-8916 | |
Mariola Dorota Karasiewicz, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4739 40th St Apt 5h, Sunnyside, NY 11104 Phone: 646-275-2954 | |
Mrs. Caitlin L. Hidasi, ANP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3978 45th St, Sunnyside, NY 11104 Phone: 718-651-4974 | |
Merissa Ann Kochanski, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4739 40th St Apt 6g, Sunnyside, NY 11104 Phone: 917-417-9045 | |
Stephanie Tan, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4209 47th Ave Apt 5e, Sunnyside, NY 11104 Phone: 917-476-4864 | |
Ms. Maureen Eisenberg, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 47-01 Queens Boulevard, Suite 303, Sunnyside, NY 11104 Phone: 718-707-3434 Fax: 718-707-3435 |