| Alisha Martin, PMHNP-BC | |
| 150 Motor Pkwy Ste 401, Hauppauge, NY 11788-5108 | |
| (516) 505-7200 | |
| (949) 419-3482 | 
| Full Name | Alisha Martin | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner - Psychiatric/mental Health | 
| Location | 150 Motor Pkwy Ste 401, Hauppauge, 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 | 
|---|---|---|---|
| 1184339301 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 406754 (New York) | Secondary | 
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 9562959 (Florida) | Primary | 
| Entity Name | Aldad Medical Pc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1851050215 PECOS PAC ID: 5395152201 Enrollment ID: O20211229000659 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Alisha Martin, PMHNP-BC 150 Motor Pkwy Ste 401, Hauppauge, NY 11788-5108 Ph: (516) 505-7200 | Alisha Martin, PMHNP-BC 150 Motor Pkwy Ste 401, Hauppauge, NY 11788-5108 Ph: (516) 505-7200 | 
| Gail Holtz, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 299 Bow Dr, Hauppauge, NY 11788 Phone: 631-974-6937 | |
| Sandra Brown-truter, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 220 Veterans Memorial Hwy, Hauppauge, NY 11788 Phone: 631-979-0922 | |
| Christine Anne Dorman I, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1 Kings Hwy, Hauppauge, NY 11788 Phone: 631-348-4900 | |
| Ms. Tracy Manners,  Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1770 Motor Pkwy, Hauppauge, NY 11749 Phone: 631-434-1770 | |
| Oksana Boldyrev,  Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 282 Mount Pleasant Rd, Hauppauge, NY 11788 Phone: 347-614-7568 | |
| Ms. Gayle Couleas, ANP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 694 Motor Pkwy, Suite 101, Hauppauge, NY 11788 Phone: 631-265-9355 Fax: 631-864-8504 | |
| Caroline Larosa,  Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 111 Smithtown Byp Ste 204, Hauppauge, NY 11788 Phone: 631-275-6694 |