Mr Michael Percival, | |
2201 Hempstead Tpke, East Meadow, NY 11554-1859 | |
(516) 572-0123 | |
Not Available |
Full Name | Mr Michael Percival |
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Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 2201 Hempstead Tpke, East Meadow, 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 |
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1265270094 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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367500000X | Nurse Anesthetist, Certified Registered | 149449 (New York) | Primary |
Entity Name | Upstate Anesthesia Services, P.c. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629272141 PECOS PAC ID: 0840383857 Enrollment ID: O20070907000237 |
Mailing Address | Practice Location Address |
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Mr Michael Percival, 1120 E 48th St, Brooklyn, NY 11234-1505 Ph: () - | Mr Michael Percival, 2201 Hempstead Tpke, East Meadow, NY 11554-1859 Ph: (516) 572-0123 |
Enid Cohen, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2201 Hempstead Tpke, East Meadow, NY 11554 Phone: 516-572-6131 | |
Stephen Lowry, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2201 Hempstead Tpke, Nassau University Medical Center, East Meadow, NY 11554 Phone: 516-572-6804 | |
Sharyn-jae Sachs, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 2201 Hempstead Tpke, Nassau University Medical Center, East Meadow, NY 11554 Phone: 516-572-6804 | |
Mary Theresa O'connell, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2201 Hempstead Tpke, East Meadow, NY 11554 Phone: 516-572-0213 Fax: 703-766-9725 | |
Jeffrey Hafendorfer, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2201 Hempstead Tpke, East Meadow, NY 11554 Phone: 516-296-2624 Fax: 516-572-6153 | |
Miss Kaye De Gracia, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2201 Hempstead Tpke, East Meadow, NY 11554 Phone: 516-572-0123 |