| Godsy Raju, | |
| 300 Community Dr, Manhasset, NY 11030-3876 | |
| (516) 562-0100 | |
| Not Available | 
| Full Name | Godsy Raju | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Anesthetist, Certified Registered | 
| Location | 300 Community Dr, Manhasset, 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 | 
|---|---|---|---|
| 1295577880 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 151838 (New York) | Primary | 
| 163W00000X | Registered Nurse | 256411 (Tennessee) | Secondary | 
| Entity Name | North Shore - Lij Anesthesiology, Pc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1417401266 PECOS PAC ID: 1153602453 Enrollment ID: O20161228001498 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Godsy Raju, 20906 82nd Ave, Queens Village, NY 11427-1020 Ph: (631) 202-9859 | Godsy Raju, 300 Community Dr, Manhasset, NY 11030-3876 Ph: (516) 562-0100 | 
| Sarah Beth Kornhaber, C.R.N.A. Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 300 Community Dr, Dept Of Anesthesia, Manhasset, NY 11030 Phone: 516-562-4887 | |
| Samantha Jean-louis,  Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 300 Community Dr, Manhasset, NY 11030 Phone: 516-729-1193 | |
| Robert Weber, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 300 Community Dr, Anesthesia Department, Manhasset, NY 11030 Phone: 516-562-4887 | |
| Stephen Margolnick, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 300 Community Dr, Dept Of Anesthesia, Manhasset, NY 11030 Phone: 516-562-4887 | |
| Carly Pangourelias,  Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 300 Community Dr, Manhasset, NY 11030 Phone: 516-562-4887 | |
| Daniel Langone, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 300 Community Dr, Manhasset, NY 11030 Phone: 631-525-6239 | |
| Adam Gelb, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 300 Community Dr, Dept Of Anesthesia, Manhasset, NY 11030 Phone: 516-562-4887 |