Walter Dore, PMHNP | |
45 Ludlow St Ste 402, Yonkers, NY 10705-1949 | |
(347) 667-7924 | |
(332) 262-2396 |
Full Name | Walter Dore |
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Gender | Male |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 45 Ludlow St Ste 402, Yonkers, 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 |
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1497444582 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 1058299 (Texas) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 403838 (New York) | Primary |
Entity Name | Sehwan Medical Care Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598537250 PECOS PAC ID: 8022468875 Enrollment ID: O20231220001958 |
Mailing Address | Practice Location Address |
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Walter Dore, PMHNP 3737 Dacoma St, Houston, TX 77092-8905 Ph: (346) 479-5556 | Walter Dore, PMHNP 45 Ludlow St Ste 402, Yonkers, NY 10705-1949 Ph: (347) 667-7924 |
Ms. Mary Ellen Ryan, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 919 Bdway, Yonkers, NY 10701 Phone: 914-968-1900 | |
Melissa Camelia Martyn, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 20 S Broadway, Mha 11th Floor, Yonkers, NY 10701 Phone: 718-964-6161 | |
Rubia Fuentes, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 73 Market St, Yonkers, NY 10710 Phone: 914-848-8073 | |
Mrs. Cigi Mathew, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 970 N Broadway, Suite 305 B, Yonkers, NY 10701 Phone: 914-375-6400 | |
Christine Sosenko-porytko, F.N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2 Park Ave, Hudson River Healthcare, Inc., Yonkers, NY 10703 Phone: 914-964-7862 Fax: 914-964-7307 | |
Mr. Norris Ogard, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1 Larkin Ctr, Yonkers, NY 10701 Phone: 914-376-8226 | |
Ms. Folasayo Ore-ofe Adaramola, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 465 Scarsdale Rd, Yonkers, NY 10707 Phone: 917-755-5512 |