| Shubrata Dey, FNP | |
|
16410 Northern Blvd Ste 204, Flushing, NY 11358-2668 | |
| (718) 886-2011 | |
| (929) 333-7950 |
| Full Name | Shubrata Dey |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Family |
| Location | 16410 Northern Blvd Ste 204, Flushing, 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 |
|---|---|---|---|
| 1457902058 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 11004216 (Florida) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 349573 (New York) | Primary |
| Entity Name | Hollis Ak Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295454650 PECOS PAC ID: 6901276260 Enrollment ID: O20221230001544 |
| Mailing Address | Practice Location Address |
|---|---|
| Shubrata Dey, FNP 16410 Northern Blvd Ste 204, Flushing, NY 11358-2668 Ph: (718) 886-2011 | Shubrata Dey, FNP 16410 Northern Blvd Ste 204, Flushing, NY 11358-2668 Ph: (718) 886-2011 |
Peter Jaesung Jo, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5645 Main St, Flushing, NY 11355 Phone: 917-340-4637 | |
Yangyang Hu, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 13107 40th Rd, Flushing, NY 11354 Phone: 718-888-9183 Fax: 718-888-1751 | |
Angelina Yushuvayev, WHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 14703 77th Rd, Flushing, NY 11367 Phone: 917-859-3721 | |
Chunying Shao, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3808 Union St Ste 6b, Flushing, NY 11354 Phone: 718-888-1125 | |
Esther Hyunhee Lim, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5645 Main St, Flushing, NY 11355 Phone: 718-670-2388 | |
Ms. Tanya K. Walker, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3515 Parsons Blvd, Flushing, NY 11354 Phone: 718-961-3500 | |
Linda Hosford, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5645 Main St, Flushing, NY 11355 Phone: 718-670-2627 Fax: 516-437-4167 |