| Mrs Sally Catherine Monahan, NURSE PRACTITIONER | |
|
44210 County Road 48, Southold, NY 11971-5032 | |
| (631) 765-4150 | |
| (631) 765-4688 |
| Full Name | Mrs Sally Catherine Monahan |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 44210 County Road 48, Southold, 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 |
|---|---|---|---|
| 1811002868 | NPI | - | NPPES |
| 00473170 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LG0600X | Nurse Practitioner - Gerontology | F332909-1 (New York) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | F332909-1 (New York) | Primary |
| Entity Name | Family Service League Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528093242 PECOS PAC ID: 4284524448 Enrollment ID: O20040319000463 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Sally Catherine Monahan, NURSE PRACTITIONER Po Box 1559, Stony Brook, NY 11790-0989 Ph: (631) 852-1803 | Mrs Sally Catherine Monahan, NURSE PRACTITIONER 44210 County Road 48, Southold, NY 11971-5032 Ph: (631) 765-4150 |
Ms. Nordea Eloina Harrison-bailey, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 57190 Main Rd, Southold, NY 11971 Phone: 631-626-1006 | |
Kathleen Rene, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 57190 Main Rd, Southold, NY 11971 Phone: 631-626-1006 | |
Christian Witherell, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 19995 Soundview Ave, Southold, NY 11971 Phone: 631-335-5541 Fax: 631-939-2006 | |
Marcela I Schiappacasse, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 57190 Main Rd, Southold, NY 11971 Phone: 631-626-1006 | |
Lillian Ann Wolfe, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 57190 Main Rd, Southold, NY 11971 Phone: 631-626-1006 | |
Malynda Boyle, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 44360 County Route 48, Southold, NY 11971 Phone: 631-734-8742 | |
Joan Marcy Benken, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 250 Hobart Rd, Southold, NY 11971 Phone: 631-765-5619 |