| Jolly G David, NP | |
|
300 Community Dr, Manhasset, NY 11030-3816 | |
| (516) 562-2620 | |
| (516) 562-2588 |
| Full Name | Jolly G David |
|---|---|
| Gender | Female |
| Speciality | Registered Nurse |
| Location | 300 Community Dr, Manhasset, 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 |
|---|---|---|---|
| 1710990320 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | F303589 / 397075 (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 |
|---|---|
| Jolly G David, NP 972 Brush Hollow Rd, Westbury, NY 11590-1740 Ph: (516) 876-5555 | Jolly G David, NP 300 Community Dr, Manhasset, NY 11030-3816 Ph: (516) 562-2620 |
Patricia Paskewitz, NP Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 300 Community Dr, Manhasset, NY 11030 Phone: 516-562-3722 Fax: 516-562-1668 | |
Sarah Siemers, NP Registered Nurse Medicare: Medicare Enrolled Practice Location: 300 Community Dr, Manhasset, NY 11030 Phone: 516-562-4100 | |
Lois Shallow, NP Registered Nurse Medicare: Medicare Enrolled Practice Location: 300 Community Dr, Manhasset, NY 11030 Phone: 516-334-0260 | |
Teresa Muller, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 27a Shelter Rock Rd, Manhasset, NY 11030 Phone: 516-267-7460 | |
Mary Pham, NP Registered Nurse Medicare: Medicare Enrolled Practice Location: 300 Community Dr, Manhasset, NY 11030 Phone: 516-562-3722 | |
Karen Dugan, NP Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 300 Community Dr, Manhasset, NY 11030 Phone: 516-562-3722 | |
Mohini Diwan, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1 Wedgewood Ct, Manhasset, NY 11030 Phone: 516-712-8019 |