| Rose Nkoli Ezeani, NP | |
|
1111 Montauk Hwy Ste 2-4, West Islip, NY 11795-4910 | |
| (631) 647-9100 | |
| (631) 647-9099 |
| Full Name | Rose Nkoli Ezeani |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Adult Health |
| Location | 1111 Montauk Hwy Ste 2-4, West Islip, 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 |
|---|---|---|---|
| 1609921568 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2200X | Nurse Practitioner - Adult Health | 303867 (New York) | Primary |
| Entity Name | East Northport Medical Care Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932431103 PECOS PAC ID: 2668502022 Enrollment ID: O20100610000785 |
| Mailing Address | Practice Location Address |
|---|---|
| Rose Nkoli Ezeani, NP 1111 Montauk Hwy Ste 2-4, West Islip, NY 11795-4910 Ph: (631) 647-9100 | Rose Nkoli Ezeani, NP 1111 Montauk Hwy Ste 2-4, West Islip, NY 11795-4910 Ph: (631) 647-9100 |
Maria Teresa Grubman, FAMILY NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: The Cancer Institute At Good Samaritan Hospital, 111 Beach Dr, West Islip, NY 11795 Phone: 631-417-8600 | |
Ashley Anne Hubbard, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 540 Union Blvd, West Islip, NY 11795 Phone: 631-669-2555 | |
Mrs. Kerri Greenrose, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1000 Montauk Hwy, West Islip, NY 11795 Phone: 631-376-4043 | |
Mrs. Michele Ahlers, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1000 Montauk Hwy, West Islip, NY 11795 Phone: 631-376-3000 | |
Mrs. Stephanie Vicchiarelli, AGNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1000 Montauk Hwy, West Islip, NY 11795 Phone: 631-252-2559 | |
Patricia Eileen Litwack, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1000 Montauk Hwy, West Islip, NY 11795 Phone: 631-376-3000 | |
Jennifer Davis, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1000 Montauk Hwy, West Islip, NY 11795 Phone: 631-376-3384 Fax: 631-376-4192 |