| Nicole Purdy, | |
|
117 Ann St, Valley Stream, NY 11580-2701 | |
| (516) 298-2547 | |
| Not Available |
| Full Name | Nicole Purdy |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 117 Ann St, Valley Stream, 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 |
|---|---|---|---|
| 1417353483 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (New York) | Primary |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole Purdy, 117 Ann St, Valley Stream, NY 11580-2701 Ph: (516) 298-2547 | Nicole Purdy, 117 Ann St, Valley Stream, NY 11580-2701 Ph: (516) 298-2547 |
Mr. Alfonso Manuel Azucar, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 260 W Sunrise Hwy Ste 200, Valley Stream, NY 11581 Phone: 516-825-3600 Fax: 516-823-2051 |
Bruna Faria Martins, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 900 Franklin Ave, Valley Stream, NY 11580 Phone: 516-256-6000 |
Kaitlyn Rae Roeda, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 900 Franklin Ave, Valley Stream, NY 11580 Phone: 516-256-6000 |
Jake Bresnihan, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 900 Franklin Ave, Valley Stream, NY 11580 Phone: 516-256-6000 |
Ms. Mariann Margaret Braito, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 900 Franklin Ave, Valley Stream, NY 11580 Phone: 516-256-6000 |
Mr. Preston Darian Totesau-johnson, P.A. Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 66 Fletcher Ave, Valley Stream, NY 11580 Phone: 917-216-1142 |
Nicholas Crozier, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 900 Franklin Ave, Valley Stream, NY 11580 Phone: 516-256-6000 |