| Mrs Serena Grace Borrero Lovelace, NP, RN | |
|
101 Nicolls Rd, Stony Brook, NY 11794-3810 | |
| (631) 444-0580 | |
| Not Available |
| Full Name | Mrs Serena Grace Borrero Lovelace |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 101 Nicolls Rd, Stony Brook, 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 |
|---|---|---|---|
| 1679163729 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 3538413 (New York) | Primary |
| 163W00000X | Registered Nurse | RN9551847 (Florida) | Secondary |
| 163W00000X | Registered Nurse | 741684 (New York) | Secondary |
| Entity Name | Stony Brook Internists University Faculty Practice Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295778371 PECOS PAC ID: 9133019821 Enrollment ID: O20040317000450 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Serena Grace Borrero Lovelace, NP, RN 101 Nicolls Rd, Stony Brook, NY 11794-0001 Ph: (631) 444-0580 | Mrs Serena Grace Borrero Lovelace, NP, RN 101 Nicolls Rd, Stony Brook, NY 11794-3810 Ph: (631) 444-0580 |
Mrs. Heather Marie Caligiuri, ANP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 101 Nicolls Rd, Stony Brook, NY 11794 Phone: 631-631-4449 | |
Mr. Sam Tarik Mendoune I, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 101 Nicolls Rd, Stony Brook, NY 11794 Phone: 631-335-1657 | |
Kevin Ramdeen, AGPCNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 101 Nicolls Rd, Stony Brook, NY 11794 Phone: 631-312-6354 | |
Ms. Marisa Ann Armstrong, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 101 Nicolls Rd, Stony Brook, NY 11794 Phone: 631-689-8333 | |
Mrs. Patricia B Meyer, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1212 Route 25a, Stony Brook, NY 11790 Phone: 631-941-1388 Fax: 631-689-3993 | |
Mrs. Marie Oquendo-miller, MSNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1 Stadium Road, Stony Brook, NY 11794 Phone: 631-632-6738 Fax: 631-632-6936 | |
Mrs. Joanne M Camarda, PNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 101 Nicolls Rd Fl Hsc11, Stony Brook, NY 11794 Phone: 631-444-7720 Fax: 631-444-7865 |