| Jason Michael Astafan, | |
|
5586 Legionnaire Dr, Cicero, NY 13039-3504 | |
| (315) 728-6903 | |
| (315) 204-1070 |
| Full Name | Jason Michael Astafan |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Family |
| Location | 5586 Legionnaire Dr, Cicero, 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 |
|---|---|---|---|
| 1720829435 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 354414 (New York) | Primary |
| Entity Name | Zaki Badawy, Md Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871206474 PECOS PAC ID: 9234576844 Enrollment ID: O20240319001070 |
| Mailing Address | Practice Location Address |
|---|---|
| Jason Michael Astafan, 105 Trent Ln, Camillus, NY 13031-1615 Ph: (315) 408-6813 | Jason Michael Astafan, 5586 Legionnaire Dr, Cicero, NY 13039-3504 Ph: (315) 728-6903 |
Ms. Janet Lucille Lottermoser, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5857 Glendora Rd, Cicero, NY 13039 Phone: 315-699-3830 Fax: 707-471-3830 | |
Joy Tompkins, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6251 State Route 31, Cicero, NY 13039 Phone: 315-699-9595 | |
Kristine Nichole Mims, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6129 Cordero Dr, Cicero, NY 13039 Phone: 315-276-9936 | |
Emily Glisson, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8393 Elta Drive, Cicero, NY 13039 Phone: 315-698-0290 Fax: 315-698-0291 | |
Ms. Stayce Lea Huynh, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8003 Brewerton Rd, Cicero, NY 13039 Phone: 315-288-4006 | |
Margaret Janet Miller, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6002 Route 31, Cicero, NY 13039 Phone: 315-218-4153 | |
Stacy Alise Chesnick, MSN, APRN, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6251 State Route 31, Cicero, NY 13039 Phone: 315-699-9595 Fax: 315-699-7095 |