| Donna Collora, PA | |
|
5225 Nesconset Hwy, Port Jefferson Station, NY 11776-2053 | |
| (631) 509-1888 | |
| Not Available |
| Full Name | Donna Collora |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 5225 Nesconset Hwy, Port Jefferson Station, 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 |
|---|---|---|---|
| 1972654960 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 004568 (New York) | Primary |
| Entity Name | State of New York Comptrollers Office |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235142472 PECOS PAC ID: 0840101770 Enrollment ID: O20040313000077 |
| Entity Name | North Shore-lij Medical PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053688572 PECOS PAC ID: 3375701568 Enrollment ID: O20120220000262 |
| Mailing Address | Practice Location Address |
|---|---|
| Donna Collora, PA 5225 Nesconset Hwy, Port Jefferson Station, NY 11776-2053 Ph: Not Available | Donna Collora, PA 5225 Nesconset Hwy, Port Jefferson Station, NY 11776-2053 Ph: (631) 509-1888 |
Kenneth Ryan Mataragas, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1500 Ny-112 Building 6, Suite C, Port Jefferson Station, NY 11776 Phone: 631-732-9090 |
Stacey Digiacomo, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4 Roosevelt Ave, Port Jefferson Station, NY 11776 Phone: 631-331-0500 Fax: 631-331-1644 |
Amanda Marie Wiermann, P.A. Physician Assistant Medicare: Medicare Enrolled Practice Location: Po Box 263, Port Jefferson Station, NY 11776 Phone: 631-828-5419 Fax: 631-403-1298 |
Linda Wynne, RPAC Physician Assistant Medicare: Medicare Enrolled Practice Location: 815 Hallock Ave, Port Jefferson Station, NY 11776 Phone: 631-331-7267 |
Mr. Michael Gerard Schmit Jr., PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 116 Terryville Rd, Port Jefferson Station, NY 11776 Phone: 631-928-2002 |
Michelle Walz, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 4 Massachusetts Ave, Port Jefferson Station, NY 11776 Phone: 631-374-6910 |
Amanda Foy, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 112 Terryville Rd, Port Jefferson Station, NY 11776 Phone: 631-209-2827 |