| Anne-marie Wise, | |
|
120 Mineola Blvd, Suite 100, Mineola, NY 11501-4064 | |
| (516) 663-6925 | |
| (516) 663-4821 |
| Full Name | Anne-marie Wise |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Women's Health |
| Location | 120 Mineola Blvd, Mineola, 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 |
|---|---|---|---|
| 1639555428 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LW0102X | Nurse Practitioner - Women's Health | 421221 (New York) | Primary |
| Entity Name | Square Care Medical Group Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457392763 PECOS PAC ID: 7012938434 Enrollment ID: O20051220000236 |
| 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 | 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Anne-marie Wise, 120 Mineola Blvd, Suite 100, Mineola, NY 11501-4064 Ph: (516) 663-6925 | Anne-marie Wise, 120 Mineola Blvd, Suite 100, Mineola, NY 11501-4064 Ph: (516) 663-6925 |
Laura Lorraine Mckenna, NNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 259 1st St, Mineola, NY 11501 Phone: 516-663-2406 Fax: 516-663-3759 | |
Ms. Marina Pavlovic, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 120 Mineola Blvd, Mineola, NY 11501 Phone: 516-663-3000 | |
Erin Colleen Krause, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 259 1st St, Mineola, NY 11501 Phone: 516-663-0333 | |
Taeseong Kim, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 259 1st St # Er, Mineola, NY 11501 Phone: 516-663-2201 | |
Neselda Pabilona Ling, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 259 1st St, Mineola, NY 11501 Phone: 516-663-0333 | |
Julie Lyn Costello, ACNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 259 1st St, Mineola, NY 11501 Phone: 516-663-0333 | |
Mrs. Abigail Rose Mcnall, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 200 Old Country Rd, Suite 370, Mineola, NY 11501 Phone: 516-663-4525 Fax: 516-663-4532 |