| Mrs Amber Vitale, | |
|
232 Merrick Rd, Lynbrook, NY 11563-2623 | |
| (516) 594-5961 | |
| Not Available |
| Full Name | Mrs Amber Vitale |
|---|---|
| Gender | Female |
| Speciality | Clinical Nurse Specialist - Family Health |
| Location | 232 Merrick Rd, 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 |
|---|---|---|---|
| 1083149785 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 341593 (New York) | Secondary |
| 364SF0001X | Clinical Nurse Specialist - Family Health | 341593 (New York) | Primary |
| Entity Name | Mount Sinai School Of Medicine |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508127531 PECOS PAC ID: 6406096544 Enrollment ID: O20130712000368 |
| Entity Name | Express Medical Care Management Corp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851784318 PECOS PAC ID: 6406160225 Enrollment ID: O20150806010731 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Amber Vitale, 4 Maiden Ln, Lynbrook, NY 11563-3217 Ph: (347) 586-4932 | Mrs Amber Vitale, 232 Merrick Rd, Lynbrook, NY 11563-2623 Ph: (516) 594-5961 |
Ms. Veldene Turner, REGISTERED NURSE Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 50 Broadway, Lynbrook, NY 11563 Phone: 516-887-1200 | |
Susan R. Cohen, PH.D, RN, CS Clinical Nurse Specialist Medicare: Accepting Medicare Assignments Practice Location: 110 South Franklin Ave, Lynbrook, NY 11563 Phone: 516-887-2382 Fax: 516-887-2382 |