| Judith Chukwuma, | |
|
998 Crooked Hill Rd, Brentwood, NY 11717 | |
| (631) 306-5871 | |
| Not Available |
| Full Name | Judith Chukwuma |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 6 Years |
| Location | 998 Crooked Hill Rd, Brentwood, New York |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467942334 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 403263 (New York) | Primary |
| 163WP0808X | Registered Nurse - Psychiatric/mental Health | 527615-1 (New York) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Phoenix Houses Of Long Island Inc | 4880584101 | 10 |
| 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 |
Ms. Maryellen Cucuzzo, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 600 Suffolk Ave Ste C, Brentwood, NY 11717 Phone: 631-273-3712 Fax: 631-273-3745 | |
Gina Bogdanowicz, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1001 Crooked Hill Rd, Brentwood, NY 11717 Phone: 631-287-8500 | |
Lynda Lyon, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1841 Brentwood Rd, Brentwood, NY 11717 Phone: 631-853-7300 | |
Mrs. Joann Marie Basile, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1841 Brentwood Rd, Brentwood, NY 11717 Phone: 631-853-7300 Fax: 631-853-7301 | |
Mohammad Abraham Chaudry, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1869 Brentwood Rd, Brentwood, NY 11717 Phone: 844-400-1975 | |
Rahul Subramanian Iyer, Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 1869 Brentwood Rd, Brentwood, NY 11717 Phone: 844-400-1975 | |
Jennifer Vasquez, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 36 Fairdale Dr, Brentwood, NY 11717 Phone: 631-860-8548 |