Chenelle Grant, | |
35 Arkay Dr, Hauppauge, NY 11788-3756 | |
(888) 674-2742 | |
Not Available |
Full Name | Chenelle Grant |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 35 Arkay Dr, 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 |
---|---|---|---|
1801441399 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 344832 (New York) | Primary |
Entity Name | Northwell Healthcare Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215019500 PECOS PAC ID: 3971531039 Enrollment ID: O20070215000718 |
Entity Name | Mission Medical Care Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750898565 PECOS PAC ID: 2365705696 Enrollment ID: O20180418002058 |
Entity Name | Simple Healthcare, Np In Family Health, Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760263354 PECOS PAC ID: 6204362239 Enrollment ID: O20241213000385 |
Mailing Address | Practice Location Address |
---|---|
Chenelle Grant, 35 Arkay Dr, Hauppauge, NY 11788-3756 Ph: () - | Chenelle Grant, 35 Arkay Dr, Hauppauge, NY 11788-3756 Ph: (888) 674-2742 |
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 |