| Ada Gutierrez, NP | |
|
101 Nicolls Rd, Stony Brook, NY 11794-3210 | |
| (631) 444-0650 | |
| Not Available |
| Full Name | Ada Gutierrez |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Adult Health |
| Location | 101 Nicolls Rd, Stony Brook, 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 |
|---|---|---|---|
| 1093027153 | NPI | - | NPPES |
| 306547 | Other | NY | NEW YORK STATE EDUCATION DEPARTMENT |
| 609093-1 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 609093-1 (New York) | Secondary |
| 363LA2200X | Nurse Practitioner - Adult Health | 306547 (New York) | Primary |
| Entity Name | Stony Brook Internists University Faculty Practice Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821035601 PECOS PAC ID: 9133019821 Enrollment ID: O20040416000248 |
| Mailing Address | Practice Location Address |
|---|---|
| Ada Gutierrez, NP 93 Carter St, Bay Shore, NY 11706-4505 Ph: (631) 747-2154 | Ada Gutierrez, NP 101 Nicolls Rd, Stony Brook, NY 11794-3210 Ph: (631) 444-0650 |
Mrs. Heather Marie Caligiuri, ANP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 101 Nicolls Rd, Stony Brook, NY 11794 Phone: 631-631-4449 | |
Mr. Sam Tarik Mendoune I, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 101 Nicolls Rd, Stony Brook, NY 11794 Phone: 631-335-1657 | |
Kevin Ramdeen, AGPCNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 101 Nicolls Rd, Stony Brook, NY 11794 Phone: 631-312-6354 | |
Ms. Marisa Ann Armstrong, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 101 Nicolls Rd, Stony Brook, NY 11794 Phone: 631-689-8333 | |
Mrs. Patricia B Meyer, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1212 Route 25a, Stony Brook, NY 11790 Phone: 631-941-1388 Fax: 631-689-3993 | |
Mrs. Marie Oquendo-miller, MSNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1 Stadium Road, Stony Brook, NY 11794 Phone: 631-632-6738 Fax: 631-632-6936 | |
Mrs. Joanne M Camarda, PNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 101 Nicolls Rd Fl Hsc11, Stony Brook, NY 11794 Phone: 631-444-7720 Fax: 631-444-7865 |