Nidia Bullard, CPNP | |
175 Fulton Ave Ste 100, Hempstead, NY 11550-3702 | |
(516) 292-1034 | |
(516) 292-0565 |
Full Name | Nidia Bullard |
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Gender | Female |
Speciality | Nurse Practitioner - Pediatrics |
Location | 175 Fulton Ave Ste 100, Hempstead, 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 |
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1396191888 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0200X | Nurse Practitioner - Pediatrics | F382580 (New York) | Primary |
Entity Name | New York University |
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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 |
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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 |
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Nidia Bullard, CPNP 222 Station Plz N Ste 611, Mineola, NY 11501-3893 Ph: (516) 292-1034 | Nidia Bullard, CPNP 175 Fulton Ave Ste 100, Hempstead, NY 11550-3702 Ph: (516) 292-1034 |
Mrs. Foluke Grace Fashakin, NURSE PRACTITIONER Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 107 Botsford St, Hempstead, NY 11550 Phone: 718-710-7457 Fax: 516-307-9858 | |
Edwidge D Desgraves, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 129 Jackson St, Hempstead, NY 11550 Phone: 212-695-5122 | |
Mr. Kelly Hilaire, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 230 Hilton Ave Ste 105, Hempstead, NY 11550 Phone: 718-954-3553 Fax: 877-762-6647 | |
Jennisha Solange Cadet, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 195 Rutland Rd, Hempstead, NY 11550 Phone: 347-884-5575 | |
Victoria Maria Mannarino, ADULT NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 540 Fulton Ave, Hempstead, NY 11550 Phone: 516-750-2613 Fax: 516-483-3592 | |
Mavis M Bailey, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 11 Lincoln Rd, Hempstead, NY 11550 Phone: 516-385-5581 | |
Mrs. Sally Ann Richardson, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 72 Fulton Ave, Suite 300, Hempstead, NY 11550 Phone: 516-385-2920 Fax: 516-385-2293 |