| Judith Chukwuma, | |
|
998 Crooked Hill Rd, Brentwood, NY 11717 | |
| (631) 306-5871 | |
| Not Available |
| Full Name | Judith Chukwuma |
|---|---|
| Gender | Female |
| Speciality | Registered Nurse - Psychiatric/mental Health |
| Location | 998 Crooked Hill Rd, Brentwood, 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 |
|---|---|---|---|
| 1467942334 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 403263 (New York) | Secondary |
| 163WP0808X | Registered Nurse - Psychiatric/mental Health | 527615-1 (New York) | Primary |
| Entity Name | Phoenix Houses Of Long Island Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174691281 PECOS PAC ID: 4880584101 Enrollment ID: O20040318001240 |
| Mailing Address | Practice Location Address |
|---|---|
| Judith Chukwuma, 998 Crooked Hill Rd, Brentwood, NY 11717-1019 Ph: (631) 306-5871 | Judith Chukwuma, 998 Crooked Hill Rd, Brentwood, NY 11717 Ph: (631) 306-5871 |
Joanne Beth Alexander, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 69 Washington Ave, Brentwood, NY 11717 Phone: 631-291-9729 Fax: 631-952-5363 | |
Gurtej Kaur, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 998 Crooked Hill Rd, Brentwood, NY 11717 Phone: 631-761-3550 | |
Mrs. Diana Japngie, R.N Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 998 Crooked Hill Rd, Ppc/csd/buckman Center/ La Casita Bldg 47, Brentwood, NY 11717 Phone: 631-761-3746 Fax: 631-761-3830 | |
Rachel Olmeda, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 998 Crooked Hill Rd, Brentwood, NY 11717 Phone: 631-761-4723 | |
Lisseth Hernandez Mayen, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 6 Cott Ct, Brentwood, NY 11717 Phone: 516-242-6830 | |
Berline Marie Bain, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 4 Fairfield Cir, Brentwood, NY 11717 Phone: 347-403-6357 | |
Frederick William Hissiger, R.N. Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 998 Crooked Hill Rd, Brentwood, NY 11717 Phone: 631-761-3500 |