Ms Kathy M Mckillop, PNP | |
120 Mineola Blvd, Suite 210, Mineola, NY 11501-4073 | |
(516) 663-4937 | |
Not Available |
Full Name | Ms Kathy M Mckillop |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Pediatrics |
Location | 120 Mineola Blvd, Mineola, 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 |
---|---|---|---|
1801937875 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0200X | Nurse Practitioner - Pediatrics | F380616-1 (New York) | Primary |
Entity Name | New York University |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285826438 PECOS PAC ID: 1355232422 Enrollment ID: O20090822000026 |
Entity Name | Winthrop Community Medical Affiliates Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457873077 PECOS PAC ID: 5698092385 Enrollment ID: O20150317001669 |
Mailing Address | Practice Location Address |
---|---|
Ms Kathy M Mckillop, PNP 191 Latham Rd, Mineola, NY 11501-2244 Ph: (516) 746-7623 | Ms Kathy M Mckillop, PNP 120 Mineola Blvd, Suite 210, Mineola, NY 11501-4073 Ph: (516) 663-4937 |
Laura Lorraine Mckenna, NNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 259 1st St, Mineola, NY 11501 Phone: 516-663-2406 Fax: 516-663-3759 | |
Ms. Marina Pavlovic, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 120 Mineola Blvd, Mineola, NY 11501 Phone: 516-663-3000 | |
Erin Colleen Krause, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 259 1st St, Mineola, NY 11501 Phone: 516-663-0333 | |
Taeseong Kim, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 259 1st St # Er, Mineola, NY 11501 Phone: 516-663-2201 | |
Neselda Pabilona Ling, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 259 1st St, Mineola, NY 11501 Phone: 516-663-0333 | |
Julie Lyn Costello, ACNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 259 1st St, Mineola, NY 11501 Phone: 516-663-0333 | |
Mrs. Abigail Rose Mcnall, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 200 Old Country Rd, Suite 370, Mineola, NY 11501 Phone: 516-663-4525 Fax: 516-663-4532 |