| Mauro Gasparini, M.d., P.c. | |
|
119 New York Ave Massapequa NY 11758-4601 | |
| (516) 799-2555 | |
| Not Available |
| Full Name | Mauro Gasparini, M.d., P.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 119 New York Ave, Massapequa, New York |
| Authorized Official Name and Position | Mauro D Gasparini (PRESIDENT) |
| Authorized Official Contact | 5167992555 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mauro Gasparini, M.d., P.c. 119 New York Ave Massapequa NY 11758-4601 Ph: (516) 799-2555 | Mauro Gasparini, M.d., P.c. 119 New York Ave Massapequa NY 11758-4601 Ph: (516) 799-2555 |
| NPI Number | 1144376880 |
|---|---|
| Provider Enumeration Date | 01/26/2007 |
| Last Update Date | 02/14/2008 |
| Medicare PECOS PAC ID | 1456432400 |
|---|---|
| Medicare Enrollment ID | O20080115000805 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144376880 | NPI | - | NPPES |
| 00591460 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 141648 (New York) | Primary |
| Provider Name | Gina M Keep |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275510521 PECOS PAC ID: 3779570122 Enrollment ID: I20040427001731 |
| Provider Name | Mauro Gasparini |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871686691 PECOS PAC ID: 0547340291 Enrollment ID: I20080107000796 |
| Provider Name | Adam M Carpentieri |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275617193 PECOS PAC ID: 2961526496 Enrollment ID: I20100903000774 |
| Provider Name | Miriam L Pennise |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790882397 PECOS PAC ID: 7416103379 Enrollment ID: I20120808000416 |
| Provider Name | Regina Song |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184961476 PECOS PAC ID: 7315189750 Enrollment ID: I20130814000181 |
| Provider Name | Laura A Pellegrino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952889339 PECOS PAC ID: 9032460050 Enrollment ID: I20181001001894 |
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