Princy John, NP | |
19 Utica Ave, Hicksville, NY 11801 | |
(516) 554-6632 | |
Not Available |
Full Name | Princy John |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 5 Years |
Location | 19 Utica Ave, Hicksville, New York |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1588296222 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 643821 (New York) | Secondary |
363LF0000X | Nurse Practitioner - Family | F344503-01 (New York) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Stony Brook Internists University Faculty Practice Corporation | 9133019821 | 373 |
Entity Name | Stony Brook Internists University Faculty Practice Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295778371 PECOS PAC ID: 9133019821 Enrollment ID: O20040317000450 |
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 |
---|---|
Princy John, NP 101 Nicolls Rd, Stony Brook, NY 11794-4626 Ph: (516) 554-6632 | Princy John, NP 19 Utica Ave, Hicksville, NY 11801 Ph: (516) 554-6632 |
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