| Moonwha Kang, NP | |
|
845 Palmer Ave Dept Of, Mamaroneck, NY 10543 | |
| (914) 864-5857 | |
| (914) 864-5859 |
| Full Name | Moonwha Kang |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Gerontology |
| Location | 845 Palmer Ave Dept Of, Mamaroneck, 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 |
|---|---|---|---|
| 1790035004 | NPI | - | NPPES |
| A400150755 | Other | NY | MEDICARE |
| 03574701 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2200X | Nurse Practitioner - Adult Health | F305931 (New York) | Secondary |
| 363LG0600X | Nurse Practitioner - Gerontology | F340829 (New York) | Primary |
| Entity Name | Brookview Medical Associates PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871965855 PECOS PAC ID: 9537420450 Enrollment ID: O20180309000532 |
| Mailing Address | Practice Location Address |
|---|---|
| Moonwha Kang, NP 845 Palmer Ave Dept Of, Mamaroneck, NY 10543-2406 Ph: (914) 864-5857 | Moonwha Kang, NP 845 Palmer Ave Dept Of, Mamaroneck, NY 10543 Ph: (914) 864-5857 |
Mr. Jean Omega Fleurgin, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 845 Palmer Ave, Mamaroneck, NY 10543 Phone: 201-667-8117 |
Constance Haridimos, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 444 E Boston Post Rd Ste 201, Mamaroneck, NY 10543 Phone: 914-834-1777 |
Lucy Dybisz, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 270 Waverly Ave Apt Sph3, Mamaroneck, NY 10543 Phone: 914-584-9659 |
Adebisi Tomi Tijani, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 444 E Boston Post Rd, Mamaroneck, NY 10543 Phone: 312-363-9143 |
Dr. Fatima Maria Ramos-marcuse, NPP, PHD Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1600 Harrison Ave, Suite 302, Mamaroneck, NY 10543 Phone: 914-575-7770 |
Ariana Rose Komaroff, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1600 Harrison Ave Ste G105-2, Mamaroneck, NY 10543 Phone: 914-412-6335 Fax: 914-357-2727 |
Virginia Tran, RN, MSN, APRN, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 689 Mamaroneck Ave, Mamaroneck, NY 10543 Phone: 914-632-2737 |