| Irene Raphael, | |
|
66 Commack Rd Ste 20018, Commack, NY 11725-3405 | |
| (631) 858-2190 | |
| Not Available |
| Full Name | Irene Raphael |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Adult Health |
| Location | 66 Commack Rd Ste 20018, Commack, 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 |
|---|---|---|---|
| 1659852374 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2200X | Nurse Practitioner - Adult Health | 308880 (New York) | Primary |
| Entity Name | North Shore-lij Medical Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053688572 PECOS PAC ID: 3375701568 Enrollment ID: O20120220000262 |
| Mailing Address | Practice Location Address |
|---|---|
| Irene Raphael, 18 Bethal Ln, Commack, NY 11725-1004 Ph: (631) 827-9841 | Irene Raphael, 66 Commack Rd Ste 20018, Commack, NY 11725-3405 Ph: (631) 858-2190 |
Mrs. Jodi Friedberg, RN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 16 Cedarwood Ln, Commack, NY 11725 Phone: 631-513-9280 Fax: 613-543-0216 | |
Sandra M Roth, ANP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 52 Radburn Dr, Commack, NY 11725 Phone: 631-864-5175 | |
Cindy Demetriou, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 356 Veterans Memorial Hwy, Suite 5, Commack, NY 11725 Phone: 631-858-0400 | |
Kelly Eileen Mcgowan, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2171 Jericho Tpke, Commack, NY 11725 Phone: 631-858-2190 | |
Mrs. Keri Jean Wagner, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 650 Commack Rd, Commack, NY 11725 Phone: 631-623-4000 Fax: 631-864-2787 | |
Mrs. Ann Marie Perrino, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 68 Hauppauge Rd, Commack, NY 11725 Phone: 631-715-2000 | |
Ms. Kathleen Bradley Kupferman, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 68 Hauppauge Rd, Commack, NY 11725 Phone: 631-715-2503 |