Ms Jean Marie Odoherty, ANP | |
342 Beach 54th St, Arverne, NY 11692-1782 | |
(718) 634-5448 | |
Not Available |
Full Name | Ms Jean Marie Odoherty |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Adult Health |
Location | 342 Beach 54th St, Arverne, 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 |
---|---|---|---|
1730374455 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LA2200X | Nurse Practitioner - Adult Health | 303085 (New York) | Primary |
Entity Name | South Shore Family Medical Associates Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720122716 PECOS PAC ID: 5597803213 Enrollment ID: O20091117000286 |
Mailing Address | Practice Location Address |
---|---|
Ms Jean Marie Odoherty, ANP 342 Beach 54th St, Arverne, NY 11692-1782 Ph: (718) 634-5448 | Ms Jean Marie Odoherty, ANP 342 Beach 54th St, Arverne, NY 11692-1782 Ph: (718) 634-5448 |
Adelagun Oluwasesan Adelaja, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6259 De Costa Ave Fl 1, Arverne, NY 11692 Phone: 347-824-8447 | |
Ms. Billie Hector, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 182 Beach 61st St, Arverne, NY 11692 Phone: 646-207-9318 | |
Marcie M Perboo, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6946 Bayfield Ave, Arverne, NY 11692 Phone: 347-623-5306 | |
Oksana Bolson, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 430 Beach 68th St, Arverne, NY 11692 Phone: 718-474-5200 | |
Kimberley Augustin, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6200 Beach Channel Dr, Arverne, NY 11692 Phone: 718-945-7150 | |
Nicole Candido, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 248 Beach Breeze Ln, Arverne, NY 11692 Phone: 917-622-2356 |