Myung Seok Shim, | |
4430 Douglaston Pkwy Apt 3j, Little Neck, NY 11363-1872 | |
(347) 339-5126 | |
Not Available |
Full Name | Myung Seok Shim |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Location | 4430 Douglaston Pkwy Apt 3j, Little Neck, 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 |
---|---|---|---|
1952088650 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 308520 (New York) | Primary |
Entity Name | Medical Director Services Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1871955807 PECOS PAC ID: 0042501116 Enrollment ID: O20160621000218 |
Mailing Address | Practice Location Address |
---|---|
Myung Seok Shim, 4430 Douglaston Pkwy Apt 3j, Little Neck, NY 11363-1872 Ph: (347) 339-5126 | Myung Seok Shim, 4430 Douglaston Pkwy Apt 3j, Little Neck, NY 11363-1872 Ph: (347) 339-5126 |
Maureen Connolly, MSN, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 25150 61st Ave, Little Neck, NY 11362 Phone: 917-407-5331 | |
Gina Lee, PMHNP-BC &ANP-BC Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 5836 254th St, Little Neck, NY 11362 Phone: 917-566-7645 | |
Aline Marie Lennon, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4619 Little Neck Pkwy, Little Neck, NY 11362 Phone: 718-428-7400 Fax: 718-428-7405 | |
Mrs. Myung Cho, ANP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4115 249th St, Little Neck, NY 11363 Phone: 718-224-8393 Fax: 718-224-8393 | |
Melissa Dale Vilaca, NP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 254-61 Nassau Blvd, Little Neck, NY 11362 Phone: 917-563-1660 | |
Alex Reinharz, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3940 Glenwood St, Little Neck, NY 11363 Phone: 516-286-6252 | |
Mrs. Katrina St.claire, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 24524 Horace Harding Expy, Little Neck, NY 11362 Phone: 269-218-0596 |