| Nicole Massaro, R-PAC | |
|
1000 Montauk Hwy, West Islip, NY 11795-4927 | |
| (631) 376-3000 | |
| Not Available |
| Full Name | Nicole Massaro |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 1000 Montauk Hwy, West Islip, 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 |
|---|---|---|---|
| 1669627832 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 012961 (New York) | Primary |
| Entity Name | Good Samaritan Hospital Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518901180 PECOS PAC ID: 5294639951 Enrollment ID: O20031124000491 |
| Entity Name | Samaritan Medical Services PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124184544 PECOS PAC ID: 7012016009 Enrollment ID: O20070727000051 |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole Massaro, R-PAC 557 Walnut Ave, Bohemia, NY 11716-4906 Ph: (631) 241-6603 | Nicole Massaro, R-PAC 1000 Montauk Hwy, West Islip, NY 11795-4927 Ph: (631) 376-3000 |
Mrs. Kristy Selvaggi, RPAC Physician Assistant Medicare: Medicare Enrolled Practice Location: 1000 Montauk Highway, Good Samaritan Hospital, West Islip, NY 11795 Phone: 631-376-4444 |
Lisa Trentino, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 400 Montauk Hwy Ste 102, West Islip, NY 11795 Phone: 631-533-2723 Fax: 631-257-0850 |
Joseph E Mirro, Physician Assistant Medicare: Medicare Enrolled Practice Location: 518 Hunter Ave, West Islip, NY 11795 Phone: 631-278-9888 |
Laurie Waters, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 1000 Montauk Hwy, West Islip, NY 11795 Phone: 631-376-3000 |
Michaela Lynn Lomelo, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 500 Montauk Hwy, West Islip, NY 11795 Phone: 631-422-9100 |
Aron Weinberg, Physician Assistant Medicare: Medicare Enrolled Practice Location: 1000 Montauk Hwy, West Islip, NY 11795 Phone: 631-376-3000 |
Steven H Burg, RPA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 800 Montauk Hwy, West Islip, NY 11795 Phone: 631-893-3903 Fax: 631-893-3904 |