Sobha Panicker-thomas, | |
475 Seaview Ave, Staten Island University Hospital, Staten Island, NY 10305-3436 | |
(718) 226-9000 | |
Not Available |
Full Name | Sobha Panicker-thomas |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Adult Health |
Location | 475 Seaview Ave, Staten Island, 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 |
---|---|---|---|
1134678022 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LA2200X | Nurse Practitioner - Adult Health | F307945 (New York) | Primary |
Entity Name | Sv Operating Three Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396003182 PECOS PAC ID: 2365601093 Enrollment ID: O20130122000209 |
Entity Name | Medical Director Services Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1871955807 PECOS PAC ID: 0042501116 Enrollment ID: O20160621000218 |
Entity Name | Patient First Medical Practice Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1255067955 PECOS PAC ID: 0042687006 Enrollment ID: O20221103001230 |
Mailing Address | Practice Location Address |
---|---|
Sobha Panicker-thomas, 475 Seaview Avenue, Staten Island University Hospital, Staten Island, NY 10305 Ph: (718) 226-9000 | Sobha Panicker-thomas, 475 Seaview Ave, Staten Island University Hospital, Staten Island, NY 10305-3436 Ph: (718) 226-9000 |
Miss Margery Ann Shane, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2627 Hylan Boulevard, Suite C, Staten Island, NY 10306 Phone: 718-351-1136 Fax: 718-667-9711 | |
Genevieve Spota, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 130 Rose Ave, Staten Island, NY 10306 Phone: 718-980-1553 | |
Daniella Otaiza, F.N.P Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5 Little Clove Rd, Staten Island, NY 10301 Phone: 718-876-9600 Fax: 718-876-7773 | |
Kristen Colandrea, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 475 Seaview Ave, Staten Island, NY 10305 Phone: 347-681-4146 | |
Alexis Rigo, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 475 Seaview Ave, Staten Island, NY 10305 Phone: 718-226-9000 | |
Alexandra Frances Manetta, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 73 Downes Ave, Staten Island, NY 10312 Phone: 718-517-0654 | |
Mrs. Amelia Tirado, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 139 Roe St, Staten Island, NY 10310 Phone: 718-720-6650 |