| Manuel Cifuentes, | |
|
646 Willowbrook Rd, Staten Island, NY 10314-6826 | |
| (786) 608-3233 | |
| Not Available |
| Full Name | Manuel Cifuentes |
|---|---|
| Gender | Male |
| Speciality | Registered Nurse - General Practice |
| Location | 646 Willowbrook Rd, Staten Island, 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 |
|---|---|---|---|
| 1811548019 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 349509 (New York) | Secondary |
| 163WG0000X | Registered Nurse - General Practice | 742550-1 (New York) | Primary |
| Entity Name | Griffin Myers Medical Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780209445 PECOS PAC ID: 5294145017 Enrollment ID: O20201106001359 |
| Mailing Address | Practice Location Address |
|---|---|
| Manuel Cifuentes, 646 Willowbrook Rd, Staten Island, NY 10314-6826 Ph: (786) 608-3233 | Manuel Cifuentes, 646 Willowbrook Rd, Staten Island, NY 10314-6826 Ph: (786) 608-3233 |
Temitope Fawole, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 185 Saint Marks Pl, Staten Island, NY 10301 Phone: 212-677-7400 | |
Ms. Lauren Anne Gargiulo, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 3155 Amboy Rd, Staten Island, NY 10306 Phone: 718-987-9090 Fax: 718-987-7488 | |
Mr. Steven Didonato, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 777 Seaview Ave, Staten Island, NY 10305 Phone: 718-667-2855 | |
Albana Xhafa, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 295 Victory Blvd, Staten Island, NY 10301 Phone: 718-447-3191 | |
Ms. Maria Paradiso, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 647 Marcy Ave, Staten Island, NY 10309 Phone: 718-344-3206 | |
Miss Cynthia Olaitan Charles, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 280 Targee St Fl 2, Staten Island, NY 10304 Phone: 347-254-5589 | |
Asha Geevarughese, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 777 Seaview Ave, Staten Island, NY 10305 Phone: 718-667-2405 |