| Nicole Elizabeth Dornicik, AUD | |
|
292 Shade Tree Ln, Riverhead, NY 11901-5020 | |
| (631) 727-8050 | |
| Not Available |
| Full Name | Nicole Elizabeth Dornicik |
|---|---|
| Gender | Female |
| Speciality | Qualified Audiologist |
| Experience | 13 Years |
| Location | 292 Shade Tree Ln, Riverhead, New York |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568803369 | NPI | - | NPPES |
| A400091836 | Other | NY | MEDICARE PARTICIPATION NUMBER (PTAN #) |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 231H00000X | Audiologist | 002488-1 (New York) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ent And Allergy Associates Llp | 0749193662 | 421 |
| Provider Name | Ent And Allergy Associates Llp |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1376598326 PECOS PAC ID: 0749193662 Enrollment ID: O20031107000043 |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole Elizabeth Dornicik, AUD 560 White Plains Rd, Suite 560, Tarrytown, NY 10591-5113 Ph: (631) 727-8050 | Nicole Elizabeth Dornicik, AUD 292 Shade Tree Ln, Riverhead, NY 11901-5020 Ph: (631) 727-8050 |
Marlene Forzano, M.A., CCC-A Audiologist Medicare: Not Enrolled in Medicare Practice Location: 1080 Old Country Rd Unit A, Riverhead, NY 11901 Phone: 631-369-7280 Fax: 631-369-7279 | |
Colleen Marie Krupski, AUD Audiologist Medicare: Accepting Medicare Assignments Practice Location: 400 Old Country Rd Ste 16, Riverhead, NY 11901 Phone: 631-727-8050 | |
North Shore Hampton Medical And Surgical Eye Care, P.c. Audiologist Medicare: Not Enrolled in Medicare Practice Location: 54 Commerce Ave, Suite 6 Riverhead Commerce Park, Riverhead, NY 11901 Phone: 631-265-8780 | |
Katina Lown, AU.D Audiologist Medicare: Not Enrolled in Medicare Practice Location: 818 E Main St, Riverhead, NY 11901 Phone: 631-369-2808 | |
Dr. Amanda Michelle Stirpe, AU.D Audiologist Medicare: Accepting Medicare Assignments Practice Location: 400 Old Country Rd, Riverhead, NY 11901 Phone: 631-727-8050 | |
Mary Katherine Bohr, M.S. CCC-A Audiologist Medicare: Accepting Medicare Assignments Practice Location: 818 E Main St, Riverhead, NY 11901 Phone: 631-369-2808 |