| Giovanni Lopez, FNP, BC, LAC | |
|
2025 Brentwood Rd, Brentwood, NY 11717 | |
| (631) 234-4949 | |
| (631) 234-3307 |
| Full Name | Giovanni Lopez |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Family |
| Location | 2025 Brentwood Rd, Brentwood, 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 |
|---|---|---|---|
| 1649498775 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 342801 (New York) | Primary |
| Entity Name | North Shore Hematology Oncology Associates Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396794574 PECOS PAC ID: 1456243641 Enrollment ID: O20040324001766 |
| Entity Name | Long Island Family Np Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518442805 PECOS PAC ID: 6204298938 Enrollment ID: O20230814000261 |
| Mailing Address | Practice Location Address |
|---|---|
| Giovanni Lopez, FNP, BC, LAC 2025 Brentwood Rd, Brentwood, NY 11717-4656 Ph: (631) 234-4949 | Giovanni Lopez, FNP, BC, LAC 2025 Brentwood Rd, Brentwood, NY 11717 Ph: (631) 234-4949 |
Ms. Maryellen Cucuzzo, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 600 Suffolk Ave Ste C, Brentwood, NY 11717 Phone: 631-273-3712 Fax: 631-273-3745 | |
Gina Bogdanowicz, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1001 Crooked Hill Rd, Brentwood, NY 11717 Phone: 631-287-8500 | |
Lynda Lyon, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1841 Brentwood Rd, Brentwood, NY 11717 Phone: 631-853-7300 | |
Mrs. Joann Marie Basile, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1841 Brentwood Rd, Brentwood, NY 11717 Phone: 631-853-7300 Fax: 631-853-7301 | |
Jennifer Vasquez, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 36 Fairdale Dr, Brentwood, NY 11717 Phone: 631-860-8548 | |
Theretha Gilbert, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1841 Brentwood Rd, Brentwood, NY 11717 Phone: 631-853-2783 | |
Mrs. Eileen Melendez-rivas, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 737 Commack Rd, Brentwood, NY 11717 Phone: 631-388-7500 |