| Ellen Brady, | |
|
133 Beach 129th St, Rockaway Park, NY 11694-1619 | |
| (718) 208-8029 | |
| Not Available |
| Full Name | Ellen Brady |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 133 Beach 129th St, Rockaway Park, 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 |
|---|---|---|---|
| 1194397042 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 344091 (New York) | Primary |
| Entity Name | Memorial Radiation Oncology Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235109224 PECOS PAC ID: 8527957091 Enrollment ID: O20040312000532 |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Ellen Brady, 424 Beach 128th St, Rockaway Park, NY 11694-1509 Ph: (187) 208-8029 | Ellen Brady, 133 Beach 129th St, Rockaway Park, NY 11694-1619 Ph: (718) 208-8029 |
Mrs. Nicole Frontera, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10402 Rockaway Beach Blvd, Rockaway Park, NY 11694 Phone: 718-945-1100 | |
Mr. Kristian Devera Zacarias, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11506 Beach Channel Dr Ste 101, Rockaway Park, NY 11694 Phone: 718-474-7744 | |
Christopher Howard, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10402 Rockaway Beach Blvd, Rockaway Park, NY 11694 Phone: 718-945-1100 | |
Cintia Abrantkoski-murphy, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 11412 Beach Channel Dr, Rockaway Park, NY 11694 Phone: 718-474-3375 | |
Caitlin Kerri Gavitt, PNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 12105 Rockaway Beach Blvd, Rockaway Park, NY 11694 Phone: 718-412-9980 | |
Mrs. Susan Marie Quinn-torpey, F.N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11412 Beach Channel Dr, Suite #7, Rockaway Park, NY 11694 Phone: 718-318-6021 Fax: 718-318-6021 |