| Patricia A Boltin, PNP | |
|
1037 Main St, Hudson River Healthcare, Inc., Peekskill, NY 10566-2913 | |
| (914) 734-8800 | |
| (914) 734-8808 |
| Full Name | Patricia A Boltin |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Pediatrics |
| Location | 1037 Main St, Peekskill, 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 |
|---|---|---|---|
| 1336241447 | NPI | - | NPPES |
| 00473038 | Medicaid | NY | |
| 02040724 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0200X | Nurse Practitioner - Pediatrics | F380565 (New York) | Primary |
| Entity Name | Sun River Health Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619969458 PECOS PAC ID: 6608783568 Enrollment ID: O20031201000302 |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Patricia A Boltin, PNP 1037 Main St, Hudson River Healthcare, Inc., Peekskill, NY 10566-2913 Ph: (914) 734-8858 | Patricia A Boltin, PNP 1037 Main St, Hudson River Healthcare, Inc., Peekskill, NY 10566-2913 Ph: (914) 734-8800 |
Jennifer Lauren Kelly, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 322 Fremont St, Peekskill, NY 10566 Phone: 914-382-7210 | |
Lydia Bicocchi, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1037 Main St, Hudson River Healthcare, Inc., Peekskill, NY 10566 Phone: 914-734-8800 Fax: 914-734-8808 | |
Aminata Mcknight, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1037 Main St, Peekskill, NY 10566 Phone: 914-734-8800 | |
Mrs. Danielle Sinanaj, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2000 Main St, Peekskill, NY 10566 Phone: 914-737-8400 | |
Kristina Catherine Manich, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1008 Main St, Peekskill, NY 10566 Phone: 914-531-4476 Fax: 888-649-3528 | |
Carol D. Gold, ANP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1037 Main St, Hudson River Healthcare, Inc., Peekskill, NY 10566 Phone: 914-734-8800 Fax: 914-734-8808 |