| Cecilia Vanisky, NP | |
|
4 Roosevelt Ave, Port Jefferson Station, NY 11776-3363 | |
| (631) 331-0500 | |
| (631) 331-1644 |
| Full Name | Cecilia Vanisky |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 36 Years |
| Location | 4 Roosevelt Ave, Port Jefferson Station, New York |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225253222 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 360059 (New York) | Secondary |
| 363LX0001X | Nurse Practitioner - Obstetrics & Gynecology | 360059 (New York) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| John T Mather Memorial Hospital Of Port Jefferson | Port jefferson, NY | Hospital |
| Suny/stony Brook University Hospital | Stony brook, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Square Care Medical Group Llp | 7012938434 | 52 |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Cecilia Vanisky, NP 900 Merchants Concourse Ste 216, Westbury, NY 11590-5114 Ph: (516) 226-8373 | Cecilia Vanisky, NP 4 Roosevelt Ave, Port Jefferson Station, NY 11776-3363 Ph: (631) 331-0500 |
Gia Aslanidis, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1404 Sara Cir, Port Jefferson Station, NY 11776 Phone: 516-563-1147 | |
Uma Narayana, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 931 Hallock Ave, Port Jefferson Station, NY 11776 Phone: 631-331-7200 | |
Jaime Draghi, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 49 Rte 347, Port Jefferson Station, NY 11776 Phone: 631-751-3000 | |
Marina Dillon, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 75 N Country Rd, Port Jefferson Station, NY 11777 Phone: 631-805-2150 | |
Caroline Catherine Fiordalisi, AGNP - C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5225-15 Nesconset Hwy, Building 2, Port Jefferson Station, NY 11776 Phone: 631-509-3516 | |
Lori Jean Conlin, NURSE PRACTITIONER Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5316 Nesconset Hwy, Port Jefferson Station, NY 11776 Phone: 316-897-8006 Fax: 631-751-0506 | |
Ruth Bochat, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1 Jarvin Rd, Port Jefferson Station, NY 11776 Phone: 929-429-6861 |