| Nicole Pichardo, RN | |
|
113 Glen Cove Ave, Glen Cove, NY 11542-3438 | |
| (516) 622-8888 | |
| Not Available |
| Full Name | Nicole Pichardo |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 113 Glen Cove Ave, Glen Cove, 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 |
|---|---|---|---|
| 1750183497 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 633341 (New York) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 406899 (New York) | Primary |
| Entity Name | Charles Evans Center, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972982007 PECOS PAC ID: 1759695992 Enrollment ID: O20160427000454 |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole Pichardo, RN 113 Glen Cove Ave, Glen Cove, NY 11542-3438 Ph: () - | Nicole Pichardo, RN 113 Glen Cove Ave, Glen Cove, NY 11542-3438 Ph: (516) 622-8888 |
Bruce W Martin, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 101 Saint Andrews Ln, Glen Cove, NY 11542 Phone: 516-674-7461 | |
Daniel Giedt, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 113 Glen Cove Ave, Glen Cove, NY 11542 Phone: 516-676-2388 Fax: 516-759-5259 | |
Erin Macbride, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 101 Saint Andrews Ln, Glen Cove, NY 11542 Phone: 516-674-7201 | |
Jeffery Yin-tei Chen, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 101 Saint Andrews Ln, Glen Cove, NY 11542 Phone: 516-674-7300 | |
Sari Schwartz, PNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3 School St Ste 302, Glen Cove, NY 11542 Phone: 516-759-1234 | |
Caitlin Carpenter, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 101 Saint Andrews Ln, Glen Cove, NY 11542 Phone: 516-674-7300 | |
Maria Lyons-pellechia, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 101 Saint Andrews Ln, Glen Cove, NY 11542 Phone: 516-701-6772 |