Garumuni Anura Desilva, Md Pc | |
6851 Jericho Tpke Ste 150 Syosset NY 11791-4462 | |
(203) 497-3861 | |
(203) 424-1467 |
Full Name | Garumuni Anura Desilva, Md Pc |
---|---|
Speciality | Nurse Practitioner |
Location | 6851 Jericho Tpke Ste 150, Syosset, New York |
Authorized Official Name and Position | Garumuni Desilva (MD) |
Authorized Official Contact | 2039190100 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Garumuni Anura Desilva, Md Pc 240 Indian River Rd Ste C Orange CT 06477-3649 Ph: (203) 497-3861 | Garumuni Anura Desilva, Md Pc 6851 Jericho Tpke Ste 150 Syosset NY 11791-4462 Ph: (203) 497-3861 |
NPI Number | 1427793629 |
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Provider Enumeration Date | 05/02/2022 |
Last Update Date | 11/16/2022 |
Medicare PECOS PAC ID | 4688056534 |
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Medicare Enrollment ID | O20220809002269 |
Identifier | Type | State | Issuer |
---|---|---|---|
1427793629 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
363L00000X | Nurse Practitioner | (* (Not Available)) | Primary |
Provider Name | Roxanne Chase-wiley |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1336395532 PECOS PAC ID: 3779626288 Enrollment ID: I20100205000507 |
Provider Name | Jenny Barnum |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1316253768 PECOS PAC ID: 3173793635 Enrollment ID: I20110819000462 |
Provider Name | Marie Paule Heylen |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1891042644 PECOS PAC ID: 5698925253 Enrollment ID: I20121017000607 |
Provider Name | Miranda Saint-louis |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1922484898 PECOS PAC ID: 2365731676 Enrollment ID: I20160510000472 |
Provider Name | Maral Soufleris |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1821305293 PECOS PAC ID: 2961681325 Enrollment ID: I20171228002816 |
Provider Name | Laquisha Springer |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1043740475 PECOS PAC ID: 4082977699 Enrollment ID: I20180412002760 |
Provider Name | Mary I Gamble |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1841857752 PECOS PAC ID: 6709113962 Enrollment ID: I20190809002100 |
Provider Name | Esther Greenwald |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1689267080 PECOS PAC ID: 1658770037 Enrollment ID: I20210604002668 |
Provider Name | Jillian Reid |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1124543632 PECOS PAC ID: 4981979903 Enrollment ID: I20220809002476 |
Provider Name | Shalenta Hardison |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1598176273 PECOS PAC ID: 7719376946 Enrollment ID: I20220825000246 |
Provider Name | Ngan Nguyen |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1336887587 PECOS PAC ID: 2567846256 Enrollment ID: I20220830000447 |
Provider Name | Michelle O'connor |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1275015224 PECOS PAC ID: 4284063157 Enrollment ID: I20221109000273 |
Provider Name | Kerri L Boemio |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1427715267 PECOS PAC ID: 2769859586 Enrollment ID: I20230215001854 |
Provider Name | Carissa Marie Kelly |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1821307646 PECOS PAC ID: 2264627132 Enrollment ID: I20230215002097 |
Provider Name | Janaira Villalobos |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1629853908 PECOS PAC ID: 7416302559 Enrollment ID: I20231010003220 |
Provider Name | Hannah Helms Rigney |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1497389407 PECOS PAC ID: 4880136043 Enrollment ID: I20240605002145 |
Provider Name | Pauline Delinois |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1275183931 PECOS PAC ID: 1658785142 Enrollment ID: I20240611002868 |
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