| Gina L Dicostanzo, NP | |
|
2 Centerock Rd, West Nyack, NY 10994-2215 | |
| (845) 703-6999 | |
| (845) 703-6297 |
| Full Name | Gina L Dicostanzo |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 2 Centerock Rd, West Nyack, 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 |
|---|---|---|---|
| 1306927314 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | NN99267 (New Jersey) | Secondary |
| 363L00000X | Nurse Practitioner | F430385 (New York) | Primary |
| Entity Name | Geriatrics And Longevity Treatment Specialist, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306121504 PECOS PAC ID: 3072787308 Enrollment ID: O20111122000395 |
| Entity Name | Valley Physician Services Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467815928 PECOS PAC ID: 3577857333 Enrollment ID: O20160802002824 |
| Entity Name | New Jersey Dermatology And Aesthetics Center Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780178871 PECOS PAC ID: 3678822608 Enrollment ID: O20180823002160 |
| Mailing Address | Practice Location Address |
|---|---|
| Gina L Dicostanzo, NP 155 Crystal Run Rd, Middletown, NY 10941-4057 Ph: (845) 703-6999 | Gina L Dicostanzo, NP 2 Centerock Rd, West Nyack, NY 10994-2215 Ph: (845) 703-6999 |
Steven Carroll, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3 Demarest Mill Rd, West Nyack, NY 10994 Phone: 917-847-3077 | |
Lorraine Olivero-brodeur, D.N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2 Medical Park Dr, Suite 3, West Nyack, NY 10994 Phone: 845-727-7733 Fax: 845-727-7743 | |
Michele Muldoon, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2 Crosfield Ave, Suite 318, West Nyack, NY 10994 Phone: 845-353-5600 Fax: 845-353-3474 | |
Mrs. Margaret Mary Cardamona, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2 Medical Park Dr, Suite 5, West Nyack, NY 10994 Phone: 845-703-6999 Fax: 845-703-6297 | |
Laura Ann Garcia, ACNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2 Crosfield Ave Ste 202, West Nyack, NY 10994 Phone: 845-353-4344 Fax: 845-348-1873 | |
Mrs. Jennifer Cimino Poterbin, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 59 N Greenbush Rd, West Nyack, NY 10994 Phone: 845-300-2066 | |
Mrs. Rachel Josephine Miller, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2 Crosfield Avenue, Suite 318, West Nyack, NY 10994 Phone: 845-353-5600 Fax: 845-353-3474 |