| Jenna Antine, PA | |
|
22 Stuart Dr, Syosset, NY 11791 | |
| (516) 353-0570 | |
| Not Available |
| Full Name | Jenna Antine |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 22 Stuart Dr, Syosset, 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 |
|---|---|---|---|
| 1073894515 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
| Entity Name | Prominis Medical Services PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841323771 PECOS PAC ID: 9537124441 Enrollment ID: O20041119000601 |
| Entity Name | New York University |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285826438 PECOS PAC ID: 1355232422 Enrollment ID: O20081202000185 |
| Entity Name | New York University |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285826438 PECOS PAC ID: 1355232422 Enrollment ID: O20090822000026 |
| Mailing Address | Practice Location Address |
|---|---|
| Jenna Antine, PA 22 Stuart Dr, Syosset, NY 11791 Ph: (516) 353-0570 | Jenna Antine, PA 22 Stuart Dr, Syosset, NY 11791 Ph: (516) 353-0570 |
Sharon Rose Weber, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 221 Jericho Tpke, Syosset, NY 11791 Phone: 516-496-2752 |
Haley Ann Wipper, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 121 Eileen Way, Syosset, NY 11791 Phone: 516-584-6400 Fax: 516-584-6401 |
Mrs. Elizabeth Towne Cortez, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 596 Jericho Turnpike, Syosset, NY 11791 Phone: 516-677-5437 Fax: 718-991-4516 |
Oliver M Betancourt, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 32 Beatrice Ave, Syosset, NY 11791 Phone: 516-592-2020 |
Ms. Megan Klein, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 115 Eileen Way, Syosset, NY 11791 Phone: 917-968-2130 |
Ms. Lisa Maria Ogata, RPA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 221 Jericho Tpke, Syosset, NY 11791 Phone: 516-496-6400 |
Allison Walsh, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 575 Underhill Blvd Ste 175, Syosset, NY 11791 Phone: 516-704-7004 |