| Valessa Mesidor, | |
|
1400 Wantagh Ave, Wantagh, NY 11793-2257 | |
| (516) 308-7405 | |
| (516) 308-7404 |
| Full Name | Valessa Mesidor |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 1400 Wantagh Ave, Wantagh, 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 |
|---|---|---|---|
| 1972276285 | NPI | - | NPPES |
| 347927 | Other | NY | STATE LICENSE |
| 06885978 | Medicaid | NY | |
| A400330312 | Other | NY | MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP2300X | Nurse Practitioner - Primary Care | 347927-01 (New York) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 347927-01 (New York) | Primary |
| Entity Name | New York City Health And Hospitals Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548208127 PECOS PAC ID: 4183535305 Enrollment ID: O20040322001521 |
| Entity Name | Essen Medical Associates, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366418709 PECOS PAC ID: 1759353501 Enrollment ID: O20040811000885 |
| Entity Name | Medical Care At Home Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811138415 PECOS PAC ID: 1557403235 Enrollment ID: O20100119000152 |
| Entity Name | Medical Group Of New York Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487983516 PECOS PAC ID: 2567642044 Enrollment ID: O20110216000235 |
| Entity Name | Essen Medical Urgicare, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841607298 PECOS PAC ID: 4385960897 Enrollment ID: O20150227000903 |
| Entity Name | Wb Homecare Adullt& Family Health Np Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073063087 PECOS PAC ID: 8123389715 Enrollment ID: O20180222000562 |
| Mailing Address | Practice Location Address |
|---|---|
| Valessa Mesidor, 32 Columbia St, Farmingdale, NY 11735-2606 Ph: (516) 921-5910 | Valessa Mesidor, 1400 Wantagh Ave, Wantagh, NY 11793-2257 Ph: (516) 308-7405 |
Diana Duvivier, NP-BC, DNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3408 Park Ave, Wantagh, NY 11793 Phone: 516-221-2123 Fax: 516-221-2124 | |
Mrs. Sara Isabel Devita, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2857 Jerusalem Ave, Wantagh, NY 11793 Phone: 516-785-2783 Fax: 516-785-2584 | |
Gretchen E Kretkowski-rieger, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1400 Wantagh Ave, Wantagh, NY 11793 Phone: 631-321-7011 | |
Ashley Affrunti, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1754 Roland Ave, Wantagh, NY 11793 Phone: 516-972-7565 | |
Ellen L Dombrowski, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2587 Jerusalem Ave, Wantagh, NY 11793 Phone: 516-785-2783 Fax: 516-785-2584 | |
Kim Elaine Backman, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2079 Wantagh Ave Ste 4, Wantagh, NY 11793 Phone: 516-244-6968 | |
Deborah Cosgrove, NPP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3375 Park Ave, Suite 3007, Wantagh, NY 11793 Phone: 516-785-5544 Fax: 515-785-5570 |