Mrs Miriam Lee Pennise, NP | |
340 Veterans Hwy Ste 12, Commack, NY 11725-4300 | |
(631) 486-8400 | |
(631) 486-8080 |
Full Name | Mrs Miriam Lee Pennise |
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Gender | Female |
Speciality | Nurse Practitioner - Adult Health |
Location | 340 Veterans Hwy Ste 12, Commack, 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 |
---|---|---|---|
1790882397 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LA2200X | Nurse Practitioner - Adult Health | 301536 NP (New York) | Secondary |
363LA2200X | Nurse Practitioner - Adult Health | 379-297 RN (New York) | Primary |
Entity Name | Family Service League Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528093242 PECOS PAC ID: 4284524448 Enrollment ID: O20040319000463 |
Entity Name | Our Lady Of Consolation Care Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205822400 PECOS PAC ID: 7214958263 Enrollment ID: O20051219000117 |
Entity Name | Mauro Gasparini, M.d., P.c. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144376880 PECOS PAC ID: 1456432400 Enrollment ID: O20080115000805 |
Mailing Address | Practice Location Address |
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Mrs Miriam Lee Pennise, NP 340 Veterans Hwy Ste 12, Commack, NY 11725-4300 Ph: (631) 486-8400 | Mrs Miriam Lee Pennise, NP 340 Veterans Hwy Ste 12, Commack, NY 11725-4300 Ph: (631) 486-8400 |
Sandra M Roth, ANP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 52 Radburn Dr, Commack, NY 11725 Phone: 631-864-5175 | |
Cindy Demetriou, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 356 Veterans Memorial Hwy, Suite 5, Commack, NY 11725 Phone: 631-858-0400 | |
Kelly Eileen Mcgowan, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2171 Jericho Tpke, Commack, NY 11725 Phone: 631-858-2190 | |
Mrs. Keri Jean Wagner, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 650 Commack Rd, Commack, NY 11725 Phone: 631-623-4000 Fax: 631-864-2787 | |
Mrs. Ann Marie Perrino, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 68 Hauppauge Rd, Commack, NY 11725 Phone: 631-715-2000 | |
Ms. Kathleen Bradley Kupferman, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 68 Hauppauge Rd, Commack, NY 11725 Phone: 631-715-2503 | |
Mrs. Lauren Dolce, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6080 Jericho Tpke, Suite 314, Commack, NY 11725 Phone: 631-462-2200 |