| Jesslynn Mannino, NP | |
|
375 Commack Rd, Deer Park, NY 11729-5521 | |
| (631) 940-0409 | |
| Not Available |
| Full Name | Jesslynn Mannino |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 375 Commack Rd, Deer Park, 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 |
|---|---|---|---|
| 1366193252 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 349047 (New York) | Primary |
| Entity Name | North Shore Hematology Oncology Associates Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396794574 PECOS PAC ID: 1456243641 Enrollment ID: O20040324001766 |
| Mailing Address | Practice Location Address |
|---|---|
| Jesslynn Mannino, NP 375 Commack Rd, Deer Park, NY 11729-5521 Ph: () - | Jesslynn Mannino, NP 375 Commack Rd, Deer Park, NY 11729-5521 Ph: (631) 940-0409 |
Dina Nicklas, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 84 Wright Ave, Deer Park, NY 11729 Phone: 631-241-5928 | |
Priscilla Rose Pouchie, RN, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 16 Van Cott Rd Ste 2e, Deer Park, NY 11729 Phone: 631-274-0777 | |
Georgia Kelly-williams, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 52 Tiber Ave, Deer Park, NY 11729 Phone: 631-404-8843 | |
Catherine Stinsman, NURSE PRACTITIONER Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2005 Deer Park Ave, Deer Park, NY 11729 Phone: 631-243-6690 Fax: 631-595-1502 | |
Celeste Johnson, NURSE PRACTITIONER Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 151 Sammis Ave, Deer Park, NY 11729 Phone: 917-664-9932 | |
Desiree Inez Dennis, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1630 Deer Park Ave, Deer Park, NY 11729 Phone: 631-242-6166 | |
Sangeetha Madhu, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 33 Fulton St, Deer Park, NY 11729 Phone: 516-416-1670 Fax: 516-416-1670 |