| Ms Sandra A Waugh, FNP, RN, | |
|
951 Phyllis Dr, Baldwin, NY 11510-5047 | |
| (516) 532-3801 | |
| Not Available |
| Full Name | Ms Sandra A Waugh |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 951 Phyllis Dr, Baldwin, 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 |
|---|---|---|---|
| 1194904607 | NPI | - | NPPES |
| 00695941 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 337279 (New York) | Primary |
| 163WM0705X | Registered Nurse - Medical-surgical | 5843821 (New York) | Secondary |
| Entity Name | New York University |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285826438 PECOS PAC ID: 1355232422 Enrollment ID: O20090822000026 |
| Entity Name | Medical Group Of New York Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487983516 PECOS PAC ID: 2567642044 Enrollment ID: O20110216000235 |
| Entity Name | North Shore-lij Medical Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053688572 PECOS PAC ID: 3375701568 Enrollment ID: O20120220000262 |
| Entity Name | Health52 Family Health Np Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679161012 PECOS PAC ID: 7719392281 Enrollment ID: O20210215000401 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Sandra A Waugh, FNP, RN, 951 Phyllis Dr, Baldwin, NY 11510-5047 Ph: (516) 532-3801 | Ms Sandra A Waugh, FNP, RN, 951 Phyllis Dr, Baldwin, NY 11510-5047 Ph: (516) 532-3801 |
Mrs. Vishanti Jaimangal, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2692 Grand Ave, Baldwin, NY 11510 Phone: 516-849-9313 | |
Kunsook S. Bernstein, PHD, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3321 Harbor Point Rd, Baldwin, NY 11510 Phone: 516-456-7512 | |
Georgette Wright, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 971 Steele Blvd, Baldwin, NY 11510 Phone: 718-930-0680 | |
Jill Soller, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2818 Laurel Ave, Baldwin, NY 11510 Phone: 516-351-7155 | |
Diane Abiola Simpson Dasent, NURSE PRACTITIONER Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2893 Laurel Ave, Baldwin, NY 11510 Phone: 516-943-2276 | |
Ruth Jennifer Desormeau, FNP- BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 808 Grace St, Baldwin, NY 11510 Phone: 646-761-4826 |