| Mrs Mary Liji Kalathara, NNP-BC | |
|
12 Fairmont Ave, Ardsley, NY 10502-1618 | |
| (914) 393-5275 | |
| Not Available |
| Full Name | Mrs Mary Liji Kalathara |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Neonatal |
| Location | 12 Fairmont Ave, Ardsley, 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 |
|---|---|---|---|
| 1528533437 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LN0000X | Nurse Practitioner - Neonatal | 350447 (New York) | Primary |
| Entity Name | Montefiore Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063525152 PECOS PAC ID: 3779496021 Enrollment ID: O20031113000235 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Mary Liji Kalathara, NNP-BC 12 Fairmont Ave, Ardsley, NY 10502-1618 Ph: (914) 393-5275 | Mrs Mary Liji Kalathara, NNP-BC 12 Fairmont Ave, Ardsley, NY 10502-1618 Ph: (914) 393-5275 |
Shaimole Jose Kumpiluvely, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 31 Revere Rd, Ardsley, NY 10502 Phone: 914-592-7555 | |
Juhui Song, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 55 Heatherdell Rd, Ardsley, NY 10502 Phone: 646-244-2290 | |
Mrs. Jeanette Jennie Collins, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 67 Wood Ave, Ardsley, NY 10502 Phone: 914-693-6208 | |
Leslie E Liberatore, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1055 Saw Mill River Rd, Suite 206, Ardsley, NY 10502 Phone: 914-591-0733 Fax: 914-591-2213 | |
Rebecca Goldberg, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 20 Old Mill Ln, Ardsley, NY 10502 Phone: 914-815-0372 |