| Akisha Wilson, NP | |
|
160 4th St, Brentwood, NY 11717-4658 | |
| (631) 273-7105 | |
| (631) 273-7253 |
| Full Name | Akisha Wilson |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 160 4th St, Brentwood, 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 |
|---|---|---|---|
| 1861860611 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 339950 (New York) | Primary |
| Entity Name | New York University |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285826438 PECOS PAC ID: 1355232422 Enrollment ID: O20081202000185 |
| Entity Name | New York University |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285826438 PECOS PAC ID: 1355232422 Enrollment ID: O20090822000026 |
| Entity Name | Vr Leddy, M.d., P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275768327 PECOS PAC ID: 5890819015 Enrollment ID: O20100825000316 |
| Entity Name | Winthrop Community Medical Affiliates Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457873077 PECOS PAC ID: 5698092385 Enrollment ID: O20150317001669 |
| Entity Name | Beacon Health Medical Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679393052 PECOS PAC ID: 1658804760 Enrollment ID: O20241029000261 |
| Mailing Address | Practice Location Address |
|---|---|
| Akisha Wilson, NP 160 4th St, Brentwood, NY 11717-4658 Ph: (631) 273-7105 | Akisha Wilson, NP 160 4th St, Brentwood, NY 11717-4658 Ph: (631) 273-7105 |
Ms. Maryellen Cucuzzo, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 600 Suffolk Ave Ste C, Brentwood, NY 11717 Phone: 631-273-3712 Fax: 631-273-3745 | |
Gina Bogdanowicz, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1001 Crooked Hill Rd, Brentwood, NY 11717 Phone: 631-287-8500 | |
Lynda Lyon, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1841 Brentwood Rd, Brentwood, NY 11717 Phone: 631-853-7300 | |
Mrs. Joann Marie Basile, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1841 Brentwood Rd, Brentwood, NY 11717 Phone: 631-853-7300 Fax: 631-853-7301 | |
Rahul Subramanian Iyer, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1869 Brentwood Rd, Brentwood, NY 11717 Phone: 844-400-1975 | |
Jennifer Vasquez, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 36 Fairdale Dr, Brentwood, NY 11717 Phone: 631-860-8548 | |
Theretha Gilbert, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1841 Brentwood Rd, Brentwood, NY 11717 Phone: 631-853-2783 |