Ms Jennifer Ann Olivella, FNP | |
119 Noble St, Brentwood, NY 11717-6512 | |
(516) 967-5591 | |
Not Available |
Full Name | Ms Jennifer Ann Olivella |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 119 Noble St, Brentwood, 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 |
---|---|---|---|
1427483296 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 624365 (New York) | Secondary |
363LF0000X | Nurse Practitioner - Family | 33-340159 (New York) | Primary |
Entity Name | Prohealth Care Associates Llp |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275596280 PECOS PAC ID: 4486544186 Enrollment ID: O20040317000468 |
Mailing Address | Practice Location Address |
---|---|
Ms Jennifer Ann Olivella, FNP 119 Noble St, Brentwood, NY 11717-6512 Ph: (516) 967-5591 | Ms Jennifer Ann Olivella, FNP 119 Noble St, Brentwood, NY 11717-6512 Ph: (516) 967-5591 |
Ms. Maryellen Cucuzzo, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 600 Suffolk Ave Ste C, Brentwood, NY 11717 Phone: 631-273-3712 Fax: 631-273-3745 | |
Lynda Lyon, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1841 Brentwood Rd, Brentwood, NY 11717 Phone: 631-853-7300 | |
Mrs. Joann Marie Basile, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1841 Brentwood Rd, Brentwood, NY 11717 Phone: 631-853-7300 Fax: 631-853-7301 | |
Ms. Jiyoung Jeong Yang, ANP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1235 Suffolk Ave, Brentwood, NY 11717 Phone: 631-436-7770 | |
Jennifer Vasquez, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 36 Fairdale Dr, Brentwood, NY 11717 Phone: 631-860-8548 | |
Theretha Gilbert, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1841 Brentwood Rd, Brentwood, NY 11717 Phone: 631-853-2783 | |
Mrs. Eileen Melendez-rivas, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 737 Commack Rd, Brentwood, NY 11717 Phone: 631-388-7500 |