| Nicoleta V Koschack, NP | |
|
500 Commack Rd, Commack, NY 11725-5020 | |
| (631) 638-0736 | |
| (631) 630-6297 |
| Full Name | Nicoleta V Koschack |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Adult Health |
| Location | 500 Commack Rd, Commack, 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 |
|---|---|---|---|
| 1780051482 | NPI | - | NPPES |
| AG1114075 | Other | NY | AANP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2200X | Nurse Practitioner - Adult Health | F307021 (New York) | Primary |
| Entity Name | Chs Physician Partners PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407089345 PECOS PAC ID: 7618955667 Enrollment ID: O20040708000027 |
| Entity Name | Sun River Health Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568526838 PECOS PAC ID: 6608783568 Enrollment ID: O20040714000375 |
| Entity Name | Digestive Disease Care, PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184871774 PECOS PAC ID: 7113093071 Enrollment ID: O20080829000434 |
| Mailing Address | Practice Location Address |
|---|---|
| Nicoleta V Koschack, NP Po Box 1559, Stony Brook, NY 11790-0989 Ph: (631) 444-8478 | Nicoleta V Koschack, NP 500 Commack Rd, Commack, NY 11725-5020 Ph: (631) 638-0736 |
Tara Accavallo, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5036 Jericho Tpke Ste 207, Commack, NY 11725 Phone: 631-486-8372 Fax: 631-486-8374 |
Sandra M Roth, ANP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 52 Radburn Dr, Commack, NY 11725 Phone: 631-864-5175 |
Cindy Demetriou, Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 356 Veterans Memorial Hwy, Suite 5, Commack, NY 11725 Phone: 631-858-0400 |
Caralyn Digangi, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6277 Jericho Tpke, Commack, NY 11725 Phone: 631-462-6644 |
Kelly Eileen Mcgowan, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2171 Jericho Tpke, Commack, NY 11725 Phone: 631-858-2190 |
Mrs. Keri Jean Wagner, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 650 Commack Rd, Commack, NY 11725 Phone: 631-623-4000 Fax: 631-864-2787 |
Mrs. Ann Marie Perrino, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 68 Hauppauge Rd, Commack, NY 11725 Phone: 631-715-2000 |