| Stephanie Ellen Timmes, | |
|
110 Hunnewell Ave, Elmont, NY 11003-2710 | |
| (516) 775-7407 | |
| Not Available |
| Full Name | Stephanie Ellen Timmes |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant - Medical |
| Location | 110 Hunnewell Ave, Elmont, 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 |
|---|---|---|---|
| 1285262659 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 025942 (New York) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 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 |
|---|---|
| Stephanie Ellen Timmes, 110 Hunnewell Ave, Elmont, NY 11003-2710 Ph: Not Available | Stephanie Ellen Timmes, 110 Hunnewell Ave, Elmont, NY 11003-2710 Ph: (516) 775-7407 |
Dexter Paul, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 110 N King St, Elmont, NY 11003 Phone: 516-424-5938 |
Sumaya Javaid, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1315 Star Ave, Elmont, NY 11003 Phone: 516-499-0208 |
Aziz Chowdhury, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 54 Freeman Ave, Elmont, NY 11003 Phone: 516-852-1390 |
Tina P Joseph, PA Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 419 Litchfield Ave, Elmont, NY 11003 Phone: 516-698-1010 |
Mr. Jean Pierre Louis, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 135 Fieldmere Street, Elmont, NY 11003 Phone: 917-847-4422 |
Uroosa Mohammad, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 206 Hill Ave, Elmont, NY 11003 Phone: 347-455-6259 |
Vernon Anthony Chin, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1546 Rosser Ave, Elmont, NY 11003 Phone: 516-351-6548 |