Ms Jaclyn A Farino, NP | |
159 Carleton Ave, Central Islip, NY 11722-4172 | |
(631) 650-2510 | |
Not Available |
Full Name | Ms Jaclyn A Farino |
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Gender | Female |
Speciality | Nurse Practitioner - Adult Health |
Location | 159 Carleton Ave, Central Islip, 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 |
---|---|---|---|
1518486877 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 403068 (New York) | Secondary |
363LA2200X | Nurse Practitioner - Adult Health | 308291 (New York) | Primary |
Entity Name | Peconic Bay Primary Medical Care Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487620613 PECOS PAC ID: 7113817602 Enrollment ID: O20040318000260 |
Entity Name | Long Island Select Healthcare, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043663107 PECOS PAC ID: 5991086225 Enrollment ID: O20161229000247 |
Mailing Address | Practice Location Address |
---|---|
Ms Jaclyn A Farino, NP 58 Valleywood Rd, Commack, NY 11725-4313 Ph: (631) 806-2786 | Ms Jaclyn A Farino, NP 159 Carleton Ave, Central Islip, NY 11722-4172 Ph: (631) 650-2510 |
Hope O. Enyenihi, MS, RN, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 17 Birchgrove Dr, Central Islip, NY 11722 Phone: 516-543-8217 | |
Marieanna Santana, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 264 Fruitwood Ln, Central Islip, NY 11722 Phone: 631-355-5336 | |
Monica Robles, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 45 W Suffolk Ave Fl 2, Central Islip, NY 11722 Phone: 631-582-2228 | |
Tracy Dourdounas, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 320 Carleton Ave, Central Islip, NY 11722 Phone: 631-234-7807 | |
Mrs. Alexandria Beverly Comrie, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9 Apple St, Central Islip, NY 11722 Phone: 631-234-2921 | |
Kathleen Fitzsimons Mccarroll, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 45 W Suffolk Ave, Suite 200, Central Islip, NY 11722 Phone: 631-582-2228 |