Larissa Soboleva, AGACNP | |
301 E Main St, Bay Shore, NY 11706-8408 | |
(631) 968-3000 | |
Not Available |
Full Name | Larissa Soboleva |
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Gender | Female |
Speciality | Nurse Practitioner - Acute Care |
Location | 301 E Main St, Bay Shore, 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 |
---|---|---|---|
1982320859 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LA2100X | Nurse Practitioner - Acute Care | F431618 (New York) | Primary |
Entity Name | North Shore - Lij Medical Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053688572 PECOS PAC ID: 3375701568 Enrollment ID: O20120220000262 |
Mailing Address | Practice Location Address |
---|---|
Larissa Soboleva, AGACNP 39 Summerfield Ct, Deer Park, NY 11729-5642 Ph: (646) 641-4928 | Larissa Soboleva, AGACNP 301 E Main St, Bay Shore, NY 11706-8408 Ph: (631) 968-3000 |
Maria Teresa Gardella, FAMILY NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: Northwell Health, 440 E Main Street, Bay Shore, NY 11706 Phone: 631-414-6800 | |
Cheryl Schoedler, ANP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1075 Cassel Ave, Bay Shore, NY 11706 Phone: 631-969-0546 | |
Allison Marie Kornahrens, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 88 Ithaca St, Bay Shore, NY 11706 Phone: 631-252-3249 | |
Marie Burkhardt, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 301 E Main St, Bay Shore, NY 11706 Phone: 631-968-3818 Fax: 631-968-3698 | |
Deborah Beauplan, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 301 E Main St, Bay Shore, NY 11706 Phone: 631-968-3000 | |
Mrs. Teresa Sara More, PNP-PC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1362 E Forks Rd, Bay Shore, NY 11706 Phone: 631-664-3106 | |
Emmanuella E Saget, NURSE PRACTITIONER Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 854 Sunrise Hwy # 1037, Bay Shore, NY 11706 Phone: 631-621-8348 |