Dr Krystyn Michelle Suppa, MD | |
2201 Hempstead Tpke, East Meadow, NY 11554-1859 | |
(516) 296-3389 | |
Not Available |
Full Name | Dr Krystyn Michelle Suppa |
---|---|
Gender | Female |
Speciality | Emergency Medicine |
Location | 2201 Hempstead Tpke, East Meadow, 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 |
---|---|---|---|
1518428218 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 25MA12142300 (New Jersey) | Primary |
Entity Name | Iep Urgent Care - Jackson Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1336725688 PECOS PAC ID: 0042619132 Enrollment ID: O20210521001112 |
Mailing Address | Practice Location Address |
---|---|
Dr Krystyn Michelle Suppa, MD 425 Jack Martin Blvd, Brick, NJ 08724-7732 Ph: (732) 840-3380 | Dr Krystyn Michelle Suppa, MD 2201 Hempstead Tpke, East Meadow, NY 11554-1859 Ph: (516) 296-3389 |
Bassem Sous, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2201 Hempstead Tpke, East Meadow, NY 11554 Phone: 516-296-2899 | |
Dr. Luis Carlos Zapata, M.D Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2201 Hempstead Tpke, East Meadow, NY 11554 Phone: 516-486-6862 | |
Dr. Richmond Lo, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2201 Hempstead Turnpike, East Meadow, NY 11554 Phone: 516-486-6862 Fax: 516-572-5465 | |
Zachary Hammond Mccabe, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2201 Hempstead Tpke, East Meadow, NY 11554 Phone: 516-572-0123 | |
Yash Chavda, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2201 Hempstead Tpke, East Meadow, NY 11554 Phone: 516-572-0123 | |
Dr. Timothy Artemas Julien, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2201 Hempstead Tpke, East Meadow, NY 11554 Phone: 516-296-2100 Fax: 516-296-7376 | |
Dr. Tushar Kapoor, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2201 Hempstead Tpke, East Meadow, NY 11554 Phone: 516-572-6175 |