| Mrs Kristy Selvaggi, RPAC | |
|
1000 Montauk Highway, Good Samaritan Hospital, West Islip, NY 11795 | |
| (631) 376-4444 | |
| Not Available |
| Full Name | Mrs Kristy Selvaggi |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 1000 Montauk Highway, West Islip, 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 |
|---|---|---|---|
| 1003034141 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 010787 (New York) | Primary |
| Entity Name | Good Samaritan Hospital Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518901180 PECOS PAC ID: 5294639951 Enrollment ID: O20031124000491 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Kristy Selvaggi, RPAC 23 Acorn Lane, Stony Brook, NY 11790 Ph: (631) 807-2568 | Mrs Kristy Selvaggi, RPAC 1000 Montauk Highway, Good Samaritan Hospital, West Islip, NY 11795 Ph: (631) 376-4444 |
Joseph E Mirro, Physician Assistant Medicare: Medicare Enrolled Practice Location: 518 Hunter Ave, West Islip, NY 11795 Phone: 631-278-9888 | |
Laurie Waters, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 1000 Montauk Hwy, West Islip, NY 11795 Phone: 631-376-3000 | |
Michaela Lynn Lomelo, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 500 Montauk Hwy, West Islip, NY 11795 Phone: 631-422-9100 | |
Aron Weinberg, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1000 Montauk Hwy, West Islip, NY 11795 Phone: 631-376-3000 | |
Steven H Burg, RPA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 800 Montauk Hwy, West Islip, NY 11795 Phone: 631-893-3903 Fax: 631-893-3904 | |
Anand Kumar, PHYSICIAN ASSISTANT Physician Assistant Medicare: Medicare Enrolled Practice Location: 1000 Montauk Hwy, West Islip, NY 11795 Phone: 631-376-8013 |