| Tamara M Henry, FNP | |
|
6 Gramatan Ave Ste 625, Mount Vernon, NY 10550-3208 | |
| (201) 654-1531 | |
| (201) 643-6645 |
| Full Name | Tamara M Henry |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 6 Gramatan Ave Ste 625, Mount Vernon, 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 |
|---|---|---|---|
| 1841743911 | NPI | - | NPPES |
| 04830113 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | F04293-01 (New York) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 340690 (New York) | Primary |
| Entity Name | Hicksville Family Medical Care Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770813792 PECOS PAC ID: 7416290564 Enrollment ID: O20190514000263 |
| Entity Name | Grow Healthcare Group Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20221117000517 |
| Mailing Address | Practice Location Address |
|---|---|
| Tamara M Henry, FNP 222 River Mews Ln, Edgewater, NJ 07020-3113 Ph: (516) 655-3684 | Tamara M Henry, FNP 6 Gramatan Ave Ste 625, Mount Vernon, NY 10550-3208 Ph: (201) 654-1531 |
Miss Amantha Theodore, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 531 E Lincoln Ave Apt 4n, Mount Vernon, NY 10552 Phone: 718-920-9000 | |
Mr. Daniel Yaw Boadu, NPP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11 W Prospect Ave, Mount Vernon, NY 10550 Phone: 347-419-4321 | |
Marlon Hylton, DNP, APRN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 Stevens Ave, Mount Vernon, NY 10550 Phone: 914-685-3131 Fax: 914-685-3141 | |
Fosua Agyenim Boateng, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6 Gramatan Ave Ste 606, Mount Vernon, NY 10550 Phone: 212-961-7299 | |
Mrs. Monica Esmenda Mccalla, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 63 Beechwood Ave, Ph, Mount Vernon, NY 10553 Phone: 914-664-2949 | |
Tahiesha Tolbert, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 153 Stevens Ave Ste 4, Mount Vernon, NY 10550 Phone: 914-668-8080 | |
Michelle R Purville, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 246 E 4th St, Mount Vernon, NY 10553 Phone: 321-298-5626 |