Ms Terri Lynn Booth, NP | |
300 Community Dr, Neuroscience Dept., 9th Floor, Manhasset, NY 11030-3816 | |
(516) 562-3060 | |
(516) 562-2635 |
Full Name | Ms Terri Lynn Booth |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Adult Health |
Location | 300 Community Dr, Manhasset, 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 |
---|---|---|---|
1720263841 | NPI | - | NPPES |
RN-217997 | Other | OH | NURSE LICENSE |
305044 | Other | NY | NEW YORK NP LICENSE NUMBER |
586063 | Other | NY | NEW YORK RN LICENSE NUMBER |
NP-09491 | Other | OH | NP LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LA2200X | Nurse Practitioner - Adult Health | 305044 (New York) | Primary |
363L00000X | Nurse Practitioner | NP-09491 (Ohio) | Secondary |
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 Terri Lynn Booth, NP 300 Community Dr, Neuroscience Dept., 9th Floor, Manhasset, NY 11030-3816 Ph: (516) 562-3060 | Ms Terri Lynn Booth, NP 300 Community Dr, Neuroscience Dept., 9th Floor, Manhasset, NY 11030-3816 Ph: (516) 562-3060 |
Yuson Chong, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 300 Community Dr, Manhasset, NY 11030 Phone: 516-562-2252 | |
Jennifer Hartmann, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 300 Community Dr, Manhasset, NY 11030 Phone: 151-656-2010 | |
Judith M Pine, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 300 Community Dr, Manhasset, NY 11030 Phone: 516-562-4330 Fax: 516-562-4332 | |
Miss Mikaela Wolf, AGACNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 300 Community Dr, Manhasset, NY 11030 Phone: 516-562-4834 | |
Jina Kim, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 600 Community Dr, Manhasset, NY 11030 Phone: 516-419-6036 | |
Jennifer Lauren Petrone, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 300 Community Dr, Manhasset, NY 11030 Phone: 516-708-2540 | |
Elizabeth John, NP, RN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 300 Community Drive, Manhasset, NY 11030 Phone: 516-562-0100 |