| Mrs Suzanne Margaret Kontak, PMHNP-BC, ANP-C, RN | |
|
939 Johnson Ave, Ronkonkoma, NY 11779-6066 | |
| (631) 471-7242 | |
| (631) 471-5150 |
| Full Name | Mrs Suzanne Margaret Kontak |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 939 Johnson Ave, Ronkonkoma, 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 |
|---|---|---|---|
| 1972915387 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2200X | Nurse Practitioner - Adult Health | F306884-1 (New York) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | F402191-1 (New York) | Primary |
| Entity Name | County Of Suffolk |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285750737 PECOS PAC ID: 2264344316 Enrollment ID: O20040317000525 |
| Entity Name | Association For Mental Health And Wellness Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578516738 PECOS PAC ID: 9739191461 Enrollment ID: O20060621000355 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Suzanne Margaret Kontak, PMHNP-BC, ANP-C, RN 939 Johnson Ave, Ronkonkoma, NY 11779-6066 Ph: (631) 471-7242 | Mrs Suzanne Margaret Kontak, PMHNP-BC, ANP-C, RN 939 Johnson Ave, Ronkonkoma, NY 11779-6066 Ph: (631) 471-7242 |
Mr. Peter L Mermelstein, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3505 Veterans Memorial Hwy, Ste C, Ronkonkoma, NY 11779 Phone: 631-676-7656 Fax: 631-676-7648 | |
Michael S Gottlieb, F.N.P-BC(ANCC) M.S.N Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 500 Peconic St, 92a, Ronkonkoma, NY 11779 Phone: 631-833-0696 Fax: 206-350-1094 | |
Ms. Rosemary P Luke, NPP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 939 Johnson Ave, Ronkonkoma, NY 11779 Phone: 631-852-1440 Fax: 631-852-1448 | |
Ashley Nicole Goba, CPNP-PC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 45 University Dr, Ronkonkoma, NY 11779 Phone: 516-456-6538 | |
Reggie Donald Valdemar, PHMNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 153 Lake Shore Rd, Ronkonkoma, NY 11779 Phone: 111-111-1111 | |
Ms. Carinne Nicole Cardona, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 650 Hawkins Ave Ste 7, Ronkonkoma, NY 11779 Phone: 631-737-0055 Fax: 631-737-0076 | |
Ms. Michele Ann Kelly, CPNP NPP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 153 Lake Shore Rd, Phoenix House Medical Dept, Ronkonkoma, NY 11779 Phone: 631-471-5666 |