Thalia Gooden, CM | |
70 Maple Ave, Smithtown, NY 11787-3502 | |
(631) 361-7526 | |
Not Available |
Full Name | Thalia Gooden |
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Gender | Female |
Speciality | Advanced Practice Midwife |
Location | 70 Maple Ave, Smithtown, 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 |
---|---|---|---|
1942783543 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367A00000X | Advanced Practice Midwife | (* (Not Available)) | Secondary |
367A00000X | Advanced Practice Midwife | F001882 (New York) | Primary |
Entity Name | Sun River Health Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568526838 PECOS PAC ID: 6608783568 Enrollment ID: O20040714000375 |
Entity Name | Planned Parenthood Hudson Peconic Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285701672 PECOS PAC ID: 8921376138 Enrollment ID: O20170612002415 |
Mailing Address | Practice Location Address |
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Thalia Gooden, CM 683 Ivy Pl, Uniondale, NY 11553-2920 Ph: () - | Thalia Gooden, CM 70 Maple Ave, Smithtown, NY 11787-3502 Ph: (631) 361-7526 |
Mrs. Ashley J Meccariello, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 88 Maple Ave, Smithtown, NY 11787 Phone: 631-486-0832 Fax: 631-504-0723 | |
Debra Kittilsen, CNM, NP Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 148 Terry Rd, Smithtown, NY 11787 Phone: 631-862-4000 | |
Kelly A Walker, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 70 Maple Ave, Smithtown, NY 11787 Phone: 631-361-7526 | |
Ms. Laure Sinnhuber-giles, CM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 24 Bellemeade Ave, Smithtown, NY 11787 Phone: 631-486-0832 | |
Nicole Aljoe, Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 70 Maple Street, Smithtown, NY 11787 Phone: 631-361-7526 |