| Jeannette A Blaha, CRNA | |
|
333 Route 25a Ste 225, Rocky Point, NY 11778-8802 | |
| (631) 744-3671 | |
| Not Available |
| Full Name | Jeannette A Blaha |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 333 Route 25a Ste 225, Rocky Point, 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 |
|---|---|---|---|
| 1104917491 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 423503-1 (New York) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 423503 (New York) | Primary |
| Entity Name | Long Island Anesthesia Physicians Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952387276 PECOS PAC ID: 7113825381 Enrollment ID: O20040106000103 |
| 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 |
| Entity Name | North Fork Surgery Center Llc |
|---|---|
| Entity Type | Part B Supplier - Ambulatory Surgical Center |
| Entity Identifiers | NPI Number: 1295365864 PECOS PAC ID: 3870922537 Enrollment ID: O20200331002185 |
| Entity Name | North Fork Surgery Center Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275134314 PECOS PAC ID: 3870922537 Enrollment ID: O20201217000869 |
| Mailing Address | Practice Location Address |
|---|---|
| Jeannette A Blaha, CRNA 333 Route 25a Ste 225, Rocky Point, NY 11778-8802 Ph: (631) 744-3671 | Jeannette A Blaha, CRNA 333 Route 25a Ste 225, Rocky Point, NY 11778-8802 Ph: (631) 744-3671 |
Galo Burbano, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 333 Route 25a, Suite 225, Rocky Point, NY 11778 Phone: 631-744-0396 | |
Kaitlyn Margaret Bonser, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 333 Route 25a Ste 225, Rocky Point, NY 11778 Phone: 631-503-1400 | |
Leonard A Goldberg, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 333 Route 25a Ste 225, Rocky Point, NY 11778 Phone: 631-744-0396 | |
Michael V Lampasona, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 333 Route 25a, Suite 225, Rocky Point, NY 11778 Phone: 631-744-3671 Fax: 631-744-6205 | |
Laura A George, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 333 Route 25a Ste 225, Rocky Point, NY 11778 Phone: 631-744-0396 | |
Colleen Erbis, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 333 Route 25a, Rocky Point, NY 11778 Phone: 631-744-3671 Fax: 631-744-6205 | |
Alison M Maletta, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 333 Route 25a Ste 225, Rocky Point, NY 11778 Phone: 631-744-0396 |