| Nassau Medical Home Visits P.C. | |
|
60 Queens St Suite 100 Syosset NY 11791-3058 | |
| (631) 271-9151 | |
| Not Available |
| Full Name | Nassau Medical Home Visits P.C. |
|---|---|
| Speciality | Internal Medicine |
| Location | 60 Queens St, Syosset, New York |
| Authorized Official Name and Position | Grigoriy Krichmar (OWNER) |
| Authorized Official Contact | 6312719151 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nassau Medical Home Visits P.C. 60 Queens St Suite 100 Syosset NY 11791-3058 | Nassau Medical Home Visits P.C. 60 Queens St Suite 100 Syosset NY 11791-3058 Ph: (631) 271-9151 |
| NPI Number | 1104270198 |
|---|---|
| Provider Enumeration Date | 04/16/2016 |
| Last Update Date | 06/25/2016 |
| Medicare PECOS PAC ID | 8921390121 |
|---|---|
| Medicare Enrollment ID | O20160708000731 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104270198 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
| 363A00000X | Physician Assistant | () | Secondary |
| 363L00000X | Nurse Practitioner | () | Secondary |
| Provider Name | Brenda L Janotha |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770666117 PECOS PAC ID: 3870570195 Enrollment ID: I20040706000419 |
| Provider Name | Laura D Ploetzke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356402473 PECOS PAC ID: 3971554544 Enrollment ID: I20050201000928 |
| Provider Name | Christine a Dorman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013163641 PECOS PAC ID: 5799853131 Enrollment ID: I20081013000002 |
| Provider Name | Stacy Klein |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881806990 PECOS PAC ID: 6608930359 Enrollment ID: I20090126000324 |
| Provider Name | Ebenezer P Thangavelu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780673228 PECOS PAC ID: 8921133596 Enrollment ID: I20100322000254 |
| Provider Name | Theodore Elias Allen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659379147 PECOS PAC ID: 9032394952 Enrollment ID: I20110419000689 |
| Provider Name | Majorie B Cooper-nicols |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1497827380 PECOS PAC ID: 1052575370 Enrollment ID: I20120615000417 |
| Provider Name | Madaline Safrey |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1235494451 PECOS PAC ID: 2466603386 Enrollment ID: I20121126000643 |
| Provider Name | Leonora N Holley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053710319 PECOS PAC ID: 4284935297 Enrollment ID: I20160729000690 |
| Provider Name | Teresa E Hirschhorn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205957768 PECOS PAC ID: 3577865260 Enrollment ID: I20160928000081 |
| Provider Name | Amy D Duenas-cortes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366838609 PECOS PAC ID: 3779842281 Enrollment ID: I20180109000032 |
| Provider Name | Christina a Persaud |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881150043 PECOS PAC ID: 7719229822 Enrollment ID: I20190419000380 |
| Provider Name | Donna Driscoll |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992285449 PECOS PAC ID: 3779814140 Enrollment ID: I20191016001690 |
| Provider Name | Precious Bamawo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447549894 PECOS PAC ID: 5294155636 Enrollment ID: I20201023000453 |
| Provider Name | Colin Kowlessar |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1689123796 PECOS PAC ID: 4688018013 Enrollment ID: I20240214000278 |
| Provider Name | Kathleen O'brien |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760268031 PECOS PAC ID: 4880138254 Enrollment ID: I20240627000663 |
| Provider Name | Cathryn Cestaro |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457743007 PECOS PAC ID: 0244546216 Enrollment ID: I20250910003440 |
| Provider Name | Heather C Robertson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1710428230 PECOS PAC ID: 3375020860 Enrollment ID: I20260127002581 |
| Provider Name | Jodianne Fitzgerald |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1619433455 PECOS PAC ID: 8426536897 Enrollment ID: I20260128002705 |
| Provider Name | Deirdre Wendel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518836162 PECOS PAC ID: 1658846514 Enrollment ID: I20260408001364 |
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