Shashala Mcgregor, | |
25710 147th Ave, Rosedale, NY 11422-3317 | |
(718) 723-0794 | |
Not Available |
Full Name | Shashala Mcgregor |
---|---|
Gender | Female |
Speciality | Registered Nurse |
Location | 25710 147th Ave, Rosedale, 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 |
---|---|---|---|
1619114535 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 604851 (New York) | Primary |
Entity Name | Prospect Park Operating, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1841365509 PECOS PAC ID: 7113927765 Enrollment ID: O20211221001121 |
Mailing Address | Practice Location Address |
---|---|
Shashala Mcgregor, 25710 147th Ave, Rosedale, NY 11422-3317 Ph: (718) 723-0794 | Shashala Mcgregor, 25710 147th Ave, Rosedale, NY 11422-3317 Ph: (718) 723-0794 |
Prof. Zeneida N Mcdonald, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 24115 Weller Ave, Rosedale, NY 11422 Phone: 718-986-3789 | |
Nneka Egbuchunam, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 24124 140th Ave, Rosedale, NY 11422 Phone: 347-886-9623 | |
Veronica Gonsalves, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 25903 147th Ave, Rosedale, NY 11422 Phone: 718-528-3432 | |
Gabriel George Benitez, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 142-02 20th Avenue, Rosedale, NY 11351 Phone: 917-563-3350 | |
Marjorie Rene, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 24711 Memphis Ave, Rosedale, NY 11422 Phone: 347-335-9906 | |
Mrs. Marcia Dena Gore, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 24102 149th Ave, Rosedale, NY 11422 Phone: 718-528-6157 | |
Tionel Lord, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 23424 129th Ave, Rosedale, NY 11422 Phone: 718-712-6001 |