Nicole Patricia Moore, NP | |
900 Franklin Ave, Valley Stream, NY 11580-2145 | |
(516) 256-6000 | |
Not Available |
Full Name | Nicole Patricia Moore |
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Gender | Female |
Speciality | Nurse Practitioner - Acute Care |
Location | 900 Franklin Ave, Valley Stream, 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 |
---|---|---|---|
1043938392 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163WC0200X | Registered Nurse - Critical Care Medicine | 695945 (New York) | Secondary |
363LA2100X | Nurse Practitioner - Acute Care | 432399 (New York) | Primary |
Entity Name | North Shore Health System Medical Faculty Group Practice Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003409061 PECOS PAC ID: 8022417328 Enrollment ID: O20210518002265 |
Mailing Address | Practice Location Address |
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Nicole Patricia Moore, NP 900 Franklin Ave, Valley Stream, NY 11580-2145 Ph: (516) 256-6000 | Nicole Patricia Moore, NP 900 Franklin Ave, Valley Stream, NY 11580-2145 Ph: (516) 256-6000 |
Ms. Abimbola Jaiyesimi, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 260 W Sunrise Hwy, Ste. 200, Valley Stream, NY 11581 Phone: 516-825-3600 Fax: 516-872-5137 | |
Taylor Marie Raia, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 260 W Sunrise Hwy Fl 3, Valley Stream, NY 11581 Phone: 516-336-5255 | |
Elana Deutscher, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 718 Hungry Harbor Rd, Valley Stream, NY 11581 Phone: 917-349-6395 | |
Kemesha Scott-denehy, ANP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 42 Rose Ave, Valley Stream, NY 11580 Phone: 516-837-0415 | |
Ms. Janice Campbell-brewster, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 260 W Sunrise Hwy, Valley Stream, NY 11581 Phone: 631-751-3000 | |
Chikodi Obichere, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12 Ash Ln, Valley Stream, NY 11581 Phone: 917-536-8517 | |
Smith Maxume, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 28 Liberty Blvd, Valley Stream, NY 11580 Phone: 347-737-3009 |