| Maria Pezzolla, | |
|
1400 Deer Park Ave, Ste 2, North Babylon, NY 11703-1618 | |
| (631) 669-6666 | |
| Not Available |
| Full Name | Maria Pezzolla |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 1400 Deer Park Ave, North Babylon, 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 |
|---|---|---|---|
| 1881129633 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | F340857-1 (New York) | Primary |
| Entity Name | Long Island Medical Services P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841443538 PECOS PAC ID: 3476619867 Enrollment ID: O20090310000537 |
| 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 |
| Entity Name | Fulton Medical Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841635133 PECOS PAC ID: 8527201540 Enrollment ID: O20130823000424 |
| Mailing Address | Practice Location Address |
|---|---|
| Maria Pezzolla, 1991 Nantucket Rd, Merrick, NY 11566-1610 Ph: (516) 644-7668 | Maria Pezzolla, 1400 Deer Park Ave, Ste 2, North Babylon, NY 11703-1618 Ph: (631) 669-6666 |
Lorraine Ivette Belevan, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 92 Drakeford Ave, North Babylon, NY 11703 Phone: 631-897-9897 | |
Nicolle A Bergin, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1231 Deer Park Ave, North Babylon, NY 11703 Phone: 631-667-0388 Fax: 631-968-7705 | |
Mrs. Julie Devuono, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 925 Deer Park Ave, North Babylon, NY 11703 Phone: 631-661-1200 | |
Heather R Dishuk, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 15 Advent Pl, North Babylon, NY 11703 Phone: 516-273-8033 | |
Paige Allison, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1231 Deer Park Ave, North Babylon, NY 11703 Phone: 631-667-0388 | |
Francisca Owusu, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1560 August Rd, North Babylon, NY 11703 Phone: 516-444-7673 | |
Christopher Ventura, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1231 Deer Park Ave, North Babylon, NY 11703 Phone: 631-667-0388 Fax: 631-968-7705 |