Stephen Andrew Pentheros, NP | |
750 Old Country Rd Bldg 2, Riverhead, NY 11901-2153 | |
(631) 751-3000 | |
(631) 751-0506 |
Full Name | Stephen Andrew Pentheros |
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Gender | Male |
Speciality | Nurse Practitioner - Adult Health |
Location | 750 Old Country Rd Bldg 2, Riverhead, 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 |
---|---|---|---|
1578840393 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LA2200X | Nurse Practitioner - Adult Health | 310357 (New York) | Primary |
164W00000X | Licensed Practical Nurse | 306726-1 (New York) | Secondary |
Entity Name | North Shore Hematology Oncology Associates Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396794574 PECOS PAC ID: 1456243641 Enrollment ID: O20040324001766 |
Mailing Address | Practice Location Address |
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Stephen Andrew Pentheros, NP 1500 Route 112 Bldg 4, Port Jefferson Station, NY 11776-8055 Ph: (631) 751-3000 | Stephen Andrew Pentheros, NP 750 Old Country Rd Bldg 2, Riverhead, NY 11901-2153 Ph: (631) 751-3000 |
Mrs. Annmarie Butler, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 729 Roanoke Ave, Riverhead, NY 11901 Phone: 631-245-5000 | |
Lashanta Kang, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 448 Griffing Ave, Riverhead, NY 11901 Phone: 631-909-8030 | |
Kristin Sweezy, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1267 E Main St Ste A, Riverhead, NY 11901 Phone: 631-259-3290 Fax: 631-651-4925 | |
Mrs. Courtney Davila, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 951 Roanoke Ave, Riverhead, NY 11901 Phone: 631-727-7773 Fax: 631-727-7832 | |
Amy B Bailey, ANP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1300 Roanoke Ave, Riverhead, NY 11901 Phone: 631-548-6207 | |
Jaclyn Mae Chotowicky, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1300 Roanoke Ave, Riverhead, NY 11901 Phone: 516-661-1721 | |
Mrs. Nicole Marie Marky, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 31 Main Rd, Riverhead, NY 11901 Phone: 631-722-4400 |