| Renee Lyn Wisniski, NP | |
|
27005 76th Ave, New Hyde Park, NY 11040-1402 | |
| (718) 470-7660 | |
| Not Available |
| Full Name | Renee Lyn Wisniski |
|---|---|
| Gender | Female |
| Speciality | Advanced Practice Midwife |
| Location | 27005 76th Ave, New Hyde Park, 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 |
|---|---|---|---|
| 1386769107 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LW0102X | Nurse Practitioner - Women's Health | 420718 (New York) | Secondary |
| 367A00000X | Advanced Practice Midwife | 002181 (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 |
|---|---|
| Renee Lyn Wisniski, NP 77 Juniper Rd Fl 2, Port Washington, NY 11050-1451 Ph: (516) 603-1361 | Renee Lyn Wisniski, NP 27005 76th Ave, New Hyde Park, NY 11040-1402 Ph: (718) 470-7660 |
Melin Maria Perez-torres, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 27005 76th Ave, New Hyde Park, NY 11040 Phone: 718-470-5301 | |
Mrs. Ilona Kertesz Mostel, NP Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 270-05 76th Avenue,, Long Island Jewish Medical Center, Dept Of Ob/gyn, New Hyde Park, NY 11040 Phone: 718-470-7700 | |
Emily Sarah Valentine, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 27005 76th Ave, New Hyde Park, NY 11040 Phone: 718-470-7660 |