| Mrs Mary Reilly Mcgonagle, FNP | |
|
133 Park St, Malone, NY 12953-1243 | |
| (518) 483-3000 | |
| Not Available |
| Full Name | Mrs Mary Reilly Mcgonagle |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 133 Park St, Malone, 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 |
|---|---|---|---|
| 1528091436 | NPI | - | NPPES |
| MM1392911 | Other | NY | DE A |
| RB1161 | Other | ALICE HYDE MEDICAL CENTER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 334888 (New York) | Primary |
| Entity Name | Alice Hyde Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114954682 PECOS PAC ID: 4082525837 Enrollment ID: O20031126000357 |
| Entity Name | St Regis Mohawk Tribe |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457344558 PECOS PAC ID: 5799748547 Enrollment ID: O20041111000764 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Mary Reilly Mcgonagle, FNP 133 Park St, Malone, NY 12953-1243 Ph: (518) 483-3000 | Mrs Mary Reilly Mcgonagle, FNP 133 Park St, Malone, NY 12953-1243 Ph: (518) 483-3000 |
Lindsay Mills Holland, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 58 Elm St, Malone, NY 12953 Phone: 201-362-7902 | |
Shanelle Marie Smith, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 133 Park St, Cardiology Department, Malone, NY 12953 Phone: 518-481-2545 | |
Emily Brooke Russell, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 15 4th St, Malone, NY 12953 Phone: 518-481-2868 | |
Ms. Jessica Marie Robinson, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 133 Park St, Malone, NY 12953 Phone: 518-483-3000 | |
Sarah Nargess Kazerani, NP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 133 Park St, Malone, NY 12953 Phone: 518-483-3000 | |
Adelanke Chris-rotimi, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5 Clay St, Malone, NY 12953 Phone: 518-483-0705 | |
Eleanor Jane Laclair, ANP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 133 Park St, Malone, NY 12953 Phone: 518-483-3000 |