| Massiel Grullon, | |
|
1612 Central Ave Ste 201, Far Rockaway, NY 11691-4002 | |
| (248) 860-0211 | |
| Not Available |
| Full Name | Massiel Grullon |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 14 Years |
| Location | 1612 Central Ave Ste 201, Far Rockaway, 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 |
|---|---|---|---|
| 1912248675 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 337140 (New York) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| White Plains Hospital Center | White plains, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Vantage Medical Associates Pc | 0547673816 | 68 |
| Entity Name | Westchester Medical Group, P.c |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881653822 PECOS PAC ID: 6406752963 Enrollment ID: O20031208000533 |
| Entity Name | Bronx Anesthesia Services, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225330103 PECOS PAC ID: 9739360421 Enrollment ID: O20110301000635 |
| Entity Name | East Post Road Medical Services Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841767274 PECOS PAC ID: 6406198506 Enrollment ID: O20190419000178 |
| Entity Name | Vantage Medical Associates Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538642996 PECOS PAC ID: 0547673816 Enrollment ID: O20210105001373 |
| Mailing Address | Practice Location Address |
|---|---|
| Massiel Grullon, 559 Mile Square Rd, Yonkers, NY 10701-6345 Ph: (914) 548-3033 | Massiel Grullon, 1612 Central Ave Ste 201, Far Rockaway, NY 11691-4002 Ph: (248) 860-0211 |
Amber Nicole Garrick, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11506 Beach Channel Dr, Far Rockaway, NY 11694 Phone: 718-318-6021 | |
Ms. Debra Slater, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 821 Bay 25th St, Far Rockaway, NY 11691 Phone: 718-471-3571 Fax: 718-471-0314 | |
Lina Albarouki, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1612 Central Ave Ste 201, Far Rockaway, NY 11691 Phone: 718-223-5820 | |
Blessy Samuel, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 228 Beach 20th St, Far Rockaway, NY 11691 Phone: 929-437-6161 Fax: 888-501-6628 | |
Esther Berenice Melka, CPNP-PC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 601 Jarvis Ave, Far Rockaway, NY 11691 Phone: 718-868-4808 | |
Malka Schorr, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 308 Beach 9th St, Far Rockaway, NY 11691 Phone: 917-444-2457 | |
Bianca Marie Catello, APN Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 1612 Central Ave, Far Rockaway, NY 11691 Phone: 718-970-8700 |