Raquel Marie Canale, NP | |
400 E Main St, Mount Kisco, NY 10549-3477 | |
(914) 666-1200 | |
Not Available |
Full Name | Raquel Marie Canale |
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Gender | Female |
Speciality | Nurse Practitioner - Acute Care |
Location | 400 E Main St, Mount Kisco, 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 |
---|---|---|---|
1861931222 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 635300 (New York) | Secondary |
363LA2100X | Nurse Practitioner - Acute Care | F431264 (New York) | Primary |
Entity Name | North Shore - Lij Medical Pc |
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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 |
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Raquel Marie Canale, NP 3245 Lucerne St, Bronx, NY 10465-1216 Ph: (646) 265-4859 | Raquel Marie Canale, NP 400 E Main St, Mount Kisco, NY 10549-3477 Ph: (914) 666-1200 |
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Crystal Moschiano, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 400 E Main St, Mount Kisco, NY 10549 Phone: 914-666-1200 | |
Sandra Broadhurst, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 400 E Main St, Northern Westchester Hospital Emergency Department, Mount Kisco, NY 10549 Phone: 914-666-1200 Fax: 914-666-1965 | |
Andrea C Longden, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 400 E Main St, Northern Westchester Hospital Emergency Department, Mount Kisco, NY 10549 Phone: 914-666-1254 Fax: 914-666-1931 | |
Brian Lorenzen, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 25 Barker St Apt 513, Mount Kisco, NY 10549 Phone: 914-275-6772 | |
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