| Mauricio Vergara, | |
|
67 Chestnut St, Lynbrook, NY 11563-1838 | |
| (917) 612-4401 | |
| Not Available |
| Full Name | Mauricio Vergara |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Adult Health |
| Location | 67 Chestnut St, Lynbrook, 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 |
|---|---|---|---|
| 1831966985 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2200X | Nurse Practitioner - Adult Health | 311550 (New York) | Primary |
| 363LG0600X | Nurse Practitioner - Gerontology | 311550 (New York) | Secondary |
| Entity Name | Weill Medical College of Cornell |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124170212 PECOS PAC ID: 6800709023 Enrollment ID: O20031118000661 |
| Mailing Address | Practice Location Address |
|---|---|
| Mauricio Vergara, 67 Chestnut St, Lynbrook, NY 11563-1838 Ph: Not Available | Mauricio Vergara, 67 Chestnut St, Lynbrook, NY 11563-1838 Ph: (917) 612-4401 |
Mandip Kaur, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 232 Merrick Rd, Lynbrook, NY 11563 Phone: 516-594-5961 |
Mr. Peter Anthony Caruso, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 733 Sunrise Hwy, Lynbrook, NY 11563 Phone: 516-593-3535 |
Mrs. Amber Vitale, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 232 Merrick Rd, Lynbrook, NY 11563 Phone: 516-594-5961 |
Tamara B Desvarieux, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 95 Pearsall Ave, Lynbrook, NY 11563 Phone: 516-778-1736 |
Mrs. Margaret M Raftery, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 444 Merrick Rd, Suite 100, Lynbrook, NY 11563 Phone: 516-872-2150 |
Oksana Avizova, NP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 360 Merrick Rd Fl 1, Lynbrook, NY 11563 Phone: 516-887-3516 Fax: 516-887-0331 |
Allison Criscuolo, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 444 Merrick Rd Ste 100, Lynbrook, NY 11563 Phone: 516-872-2152 |