| Renne Rodriguez, FNP-BC | |
|
95 Helmig St, Brentwood, NY 11717-6723 | |
| (516) 757-2986 | |
| Not Available |
| Full Name | Renne Rodriguez |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Family |
| Location | 95 Helmig St, Brentwood, 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 |
|---|---|---|---|
| 1588022578 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163WR0006X | Registered Nurse - Registered Nurse First Assistant | 626436-1 (New York) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | F345998-01 (New York) | Primary |
| Entity Name | The Central Orthopedic Group L L P |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669694394 PECOS PAC ID: 3375432362 Enrollment ID: O20040315001485 |
| 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 |
| Entity Name | Optimum Health And Wellness |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427614734 PECOS PAC ID: 5496179582 Enrollment ID: O20200722001633 |
| Mailing Address | Practice Location Address |
|---|---|
| Renne Rodriguez, FNP-BC 95 Helmig St, Brentwood, NY 11717-6723 Ph: (516) 757-2986 | Renne Rodriguez, FNP-BC 95 Helmig St, Brentwood, NY 11717-6723 Ph: (516) 757-2986 |
Ms. Maryellen Cucuzzo, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 600 Suffolk Ave Ste C, Brentwood, NY 11717 Phone: 631-273-3712 Fax: 631-273-3745 | |
Gina Bogdanowicz, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1001 Crooked Hill Rd, Brentwood, NY 11717 Phone: 631-287-8500 | |
Lynda Lyon, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1841 Brentwood Rd, Brentwood, NY 11717 Phone: 631-853-7300 | |
Mrs. Joann Marie Basile, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1841 Brentwood Rd, Brentwood, NY 11717 Phone: 631-853-7300 Fax: 631-853-7301 | |
Jennifer Vasquez, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 36 Fairdale Dr, Brentwood, NY 11717 Phone: 631-860-8548 | |
Theretha Gilbert, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1841 Brentwood Rd, Brentwood, NY 11717 Phone: 631-853-2783 | |
Mrs. Eileen Melendez-rivas, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 737 Commack Rd, Brentwood, NY 11717 Phone: 631-388-7500 |