| Ms Danguole Marullo I, | |
|
270 Ilyssa Way, Staten Island, NY 10312-1382 | |
| (347) 495-1747 | |
| Not Available |
| Full Name | Ms Danguole Marullo I |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 270 Ilyssa Way, Staten Island, 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 |
|---|---|---|---|
| 1720612674 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | F345662 (New York) | Primary |
| Entity Name | Prohealth Care Associates Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275596280 PECOS PAC ID: 4486544186 Enrollment ID: O20040317000468 |
| Entity Name | Excel Urgent Care Of Wantagh Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184067936 PECOS PAC ID: 9234364027 Enrollment ID: O20131104000254 |
| Entity Name | Optum Urgent Care Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285975797 PECOS PAC ID: 8628299518 Enrollment ID: O20141017000598 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Danguole Marullo I, 270 Ilyssa Way, Staten Island, NY 10312-1382 Ph: (347) 495-1747 | Ms Danguole Marullo I, 270 Ilyssa Way, Staten Island, NY 10312-1382 Ph: (347) 495-1747 |
Miss Margery Ann Shane, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2627 Hylan Boulevard, Suite C, Staten Island, NY 10306 Phone: 718-351-1136 Fax: 718-667-9711 | |
Genevieve Spota, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 130 Rose Ave, Staten Island, NY 10306 Phone: 718-980-1553 | |
Daniella Otaiza, F.N.P Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 5 Little Clove Rd, Staten Island, NY 10301 Phone: 718-876-9600 Fax: 718-876-7773 | |
Kristen Colandrea, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 475 Seaview Ave, Staten Island, NY 10305 Phone: 347-681-4146 | |
Alexis Rigo, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 475 Seaview Ave, Staten Island, NY 10305 Phone: 718-226-9000 | |
Alexandra Frances Manetta, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 73 Downes Ave, Staten Island, NY 10312 Phone: 718-517-0654 | |
Mrs. Amelia Tirado, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 139 Roe St, Staten Island, NY 10310 Phone: 718-720-6650 |