Sophia Ladouceur, | |
1600 Stewart Ave Ste 300, Westbury, NY 11590 | |
(516) 546-4209 | |
Not Available |
Full Name | Sophia Ladouceur |
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Gender | Female |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 1600 Stewart Ave Ste 300, Westbury, 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 |
---|---|---|---|
1952714396 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 6616661 (New York) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | F4018011 (New York) | Primary |
Entity Name | Sus Mental Health Programs, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053696195 PECOS PAC ID: 7810162468 Enrollment ID: O20111208000751 |
Entity Name | Harmony Health Care Long Island |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1336669670 PECOS PAC ID: 5991970535 Enrollment ID: O20111212000065 |
Mailing Address | Practice Location Address |
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Sophia Ladouceur, 1600 Stewart Ave Ste 300, Westbury, NY 11590-6611 Ph: (516) 546-4209 | Sophia Ladouceur, 1600 Stewart Ave Ste 300, Westbury, NY 11590 Ph: (516) 546-4209 |
Julie Khanna, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1400 Old Country Rd Ste 200a, Westbury, NY 11590 Phone: 833-350-8255 Fax: 516-345-4426 | |
Lois Shallow, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 838 Pepperidge Rd, Westbury, NY 11590 Phone: 516-334-0260 | |
Omolara Agnes Goyea, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1600 Stewart Ave, Westbury, NY 11590 Phone: 516-546-4174 | |
Caitlyn O'neil, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 372 Post Ave, Westbury, NY 11590 Phone: 516-333-1444 | |
Geraldine Salas, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1610 Old Country Rd, Westbury, NY 11590 Phone: 516-228-4900 | |
Ms. Stefanie Ann Palesado, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 972 Brush Hollow Rd, Westbury, NY 11590 Phone: 516-876-5555 Fax: 516-876-1246 | |
Jessie Abraham, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 50 Bonnie Dr, Westbury, NY 11590 Phone: 516-302-6194 |