| Hunter Ryan Iacovetti, | |
|
333 Broadway, Amityville, NY 11701-2719 | |
| (631) 789-2020 | |
| Not Available |
| Full Name | Hunter Ryan Iacovetti |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 333 Broadway, Amityville, 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 |
|---|---|---|---|
| 1649872771 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (NU) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (NU) | Secondary |
| Entity Name | Vinod Gulati MD PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730628611 PECOS PAC ID: 8325315922 Enrollment ID: O20170602001128 |
| Mailing Address | Practice Location Address |
|---|---|
| Hunter Ryan Iacovetti, 89 Ketcham Ave, Amityville, NY 11701-3110 Ph: (631) 942-2868 | Hunter Ryan Iacovetti, 333 Broadway, Amityville, NY 11701-2719 Ph: (631) 789-2020 |
Brittany Laura O'gara, PA-C Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 148 Merrick Rd, Amityville, NY 11701 Phone: 631-841-4101 |
Robert Michael Blumm, RPA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 69 Robbins Ave, Amityville, NY 11701 Phone: 631-598-1081 |
Christina Michelle Zuckerman, Physician Assistant Medicare: Medicare Enrolled Practice Location: 253 Broadway, Amityville, NY 11701 Phone: 631-598-0009 |
Danielle Orgad, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 120 Broadway Ste D, Amityville, NY 11701 Phone: 631-440-1010 |
Summer Baranello, Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 358 Merrick Rd, Amityville, NY 11701 Phone: 631-598-5373 Fax: 631-608-8600 |
Juan E Maldonado, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 7 Marilyn Ave, Amityville, NY 11701 Phone: 631-671-4200 |
Youn Redondo, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 120 Broadway, Amityville, NY 11701 Phone: 631-440-1010 |