| Welllife Network Inc., | |
|
55 Horizon Dr Huntington NY 11743-4436 | |
| (631) 920-8000 | |
| Not Available |
| Full Name | Welllife Network Inc., |
|---|---|
| Speciality | Clinic/Center |
| Location | 55 Horizon Dr, Huntington, New York |
| Authorized Official Name and Position | Sherry Tucker (CEO) |
| Authorized Official Contact | 7185590534 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Welllife Network Inc., 14202 20th Ave Fl 3 Flushing NY 11351-3000 Ph: (718) 559-0516 | Welllife Network Inc., 55 Horizon Dr Huntington NY 11743-4436 Ph: (631) 920-8000 |
| NPI Number | 1932125721 |
|---|---|
| Provider Enumeration Date | 07/14/2006 |
| Last Update Date | 08/19/2021 |
| Medicare PECOS PAC ID | 0749179570 |
|---|---|
| Medicare Enrollment ID | O20040311000454 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932125721 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (New York) | Primary |
| Provider Name | Paul D Brody |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1649361312 PECOS PAC ID: 5597754911 Enrollment ID: I20040511000503 |
| Provider Name | Samad Namin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1548480577 PECOS PAC ID: 5597756817 Enrollment ID: I20040524000945 |
| Provider Name | Rosemary Luke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255412540 PECOS PAC ID: 8820079288 Enrollment ID: I20040601000464 |
| Provider Name | Thomas A Kaplan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1275716441 PECOS PAC ID: 2567430168 Enrollment ID: I20040921001285 |
| Provider Name | Sherill Lewis |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1821244898 PECOS PAC ID: 7416906730 Enrollment ID: I20050113000630 |
| Provider Name | Laurell Renee Jeffrey |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1073747267 PECOS PAC ID: 1254380363 Enrollment ID: I20050115000011 |
| Provider Name | Jeannine Marie Rizzo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750459798 PECOS PAC ID: 6204862147 Enrollment ID: I20050712001239 |
| Provider Name | Patricia Ann Brancale |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1831258193 PECOS PAC ID: 1153367032 Enrollment ID: I20050912000428 |
| Provider Name | Eliezer S Rotblat |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1720264310 PECOS PAC ID: 2365477874 Enrollment ID: I20051004000580 |
| Provider Name | Qiuxia M Lan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1336195452 PECOS PAC ID: 6002823382 Enrollment ID: I20060310000375 |
| Provider Name | Mindy E Prager |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1699825059 PECOS PAC ID: 5496850786 Enrollment ID: I20070416000162 |
| Provider Name | Harold Sequeira |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922169390 PECOS PAC ID: 6406956945 Enrollment ID: I20070712000331 |
| Provider Name | Michel S. Vington |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376609925 PECOS PAC ID: 5092808899 Enrollment ID: I20070911000097 |
| Provider Name | Reddy Bezwada |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1669408290 PECOS PAC ID: 1951490960 Enrollment ID: I20071128000670 |
| Provider Name | Lee E Stryker |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1811100670 PECOS PAC ID: 2860579844 Enrollment ID: I20080402000249 |
| Provider Name | Georges J Casimir |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1295949741 PECOS PAC ID: 2860555125 Enrollment ID: I20090113000243 |
| Provider Name | Kamil I Jaghab |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1447212998 PECOS PAC ID: 6305994484 Enrollment ID: I20090429000232 |
| Provider Name | Anne E Marmorale |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265552285 PECOS PAC ID: 3375692189 Enrollment ID: I20090528000223 |
| Provider Name | Linda M Babolcsay |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871608984 PECOS PAC ID: 3779532114 Enrollment ID: I20100505000181 |
| Provider Name | Angel Deruvo |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1851582175 PECOS PAC ID: 4688707748 Enrollment ID: I20100727000510 |
| Provider Name | Georgina Lolly Pecoraro |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1417002643 PECOS PAC ID: 8022141811 Enrollment ID: I20100730000310 |
| Provider Name | Yves L Basse |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1194902569 PECOS PAC ID: 4082747472 Enrollment ID: I20100805000713 |
| Provider Name | Diane Tirado-lampert |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851455984 PECOS PAC ID: 4082800693 Enrollment ID: I20101122000940 |
| Provider Name | Oanghkarjit Buttar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1710964051 PECOS PAC ID: 6800072828 Enrollment ID: I20110509000555 |
| Provider Name | Keitha C Stevens |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1164665196 PECOS PAC ID: 1254597511 Enrollment ID: I20120801000110 |
| Provider Name | Brian G Buggie |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1114231826 PECOS PAC ID: 7214182369 Enrollment ID: I20130221000434 |
| Provider Name | Anne E L Alexis |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1639311566 PECOS PAC ID: 7315192390 Enrollment ID: I20130222000315 |
| Provider Name | Balaji Oruganti |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1215974167 PECOS PAC ID: 2062588395 Enrollment ID: I20140730000181 |
| Provider Name | Martha Susan Morgan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699181347 PECOS PAC ID: 0840419115 Enrollment ID: I20140918000975 |
| Provider Name | Elizabeth Ducat |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306151279 PECOS PAC ID: 1456571025 Enrollment ID: I20141002000164 |
| Provider Name | Jessica Dominguez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407176209 PECOS PAC ID: 3072733120 Enrollment ID: I20141013001672 |
| Provider Name | Stacy A Crilly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104848027 PECOS PAC ID: 6608096763 Enrollment ID: I20141013002160 |
| Provider Name | Michael Colin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1598086753 PECOS PAC ID: 1850513219 Enrollment ID: I20141119001760 |
| Provider Name | Gloria Wright |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285949693 PECOS PAC ID: 8123340510 Enrollment ID: I20141215001774 |
| Provider Name | Mary Downing |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1649321159 PECOS PAC ID: 3173846391 Enrollment ID: I20141219000816 |
| Provider Name | Ilona Tsybulskiy |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1275783581 PECOS PAC ID: 1951624535 Enrollment ID: I20150107000641 |
| Provider Name | Banu Rajagopal |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1851448500 PECOS PAC ID: 3971828633 Enrollment ID: I20150221000164 |
| Provider Name | Katherine Feminella |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1376825810 PECOS PAC ID: 5496071045 Enrollment ID: I20150226000891 |
| Provider Name | Avril C Maloney-mcalmont |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699037929 PECOS PAC ID: 1254657513 Enrollment ID: I20150303001906 |
| Provider Name | Dominique Marie Salam |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225261738 PECOS PAC ID: 6406172386 Enrollment ID: I20150312000730 |
| Provider Name | Debbie G Fassula |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508991563 PECOS PAC ID: 1153647987 Enrollment ID: I20150313000293 |
| Provider Name | Tafara Zvenyika |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1497920912 PECOS PAC ID: 2860719457 Enrollment ID: I20150319000236 |
| Provider Name | Linda Ellen Krongold |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1609140508 PECOS PAC ID: 6305163882 Enrollment ID: I20150320001495 |
| Provider Name | Murtuza Zakir Gunja |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1932493913 PECOS PAC ID: 6709104631 Enrollment ID: I20150406000799 |
| Provider Name | Kim D Axelrad |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942646104 PECOS PAC ID: 9638499536 Enrollment ID: I20150515001725 |
| Provider Name | Jennifer Bair |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013287333 PECOS PAC ID: 4082923065 Enrollment ID: I20151013001378 |
| Provider Name | Christine N Edmondson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477973519 PECOS PAC ID: 0648569970 Enrollment ID: I20160510000990 |
| Provider Name | Leeann Barbara Grasso |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639562754 PECOS PAC ID: 8921364746 Enrollment ID: I20171113000083 |
| Provider Name | Jessica Tufo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922434596 PECOS PAC ID: 5294133187 Enrollment ID: I20211006003368 |
| Provider Name | Jessica Thomassen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790111359 PECOS PAC ID: 2860880929 Enrollment ID: I20211022001983 |
| Provider Name | Aubrey Leigh Romano |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205221769 PECOS PAC ID: 3678954187 Enrollment ID: I20220714003465 |
| Provider Name | Courtney A Lorito |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184188484 PECOS PAC ID: 7214319557 Enrollment ID: I20220802003382 |
| Provider Name | Anthony Dewar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619329166 PECOS PAC ID: 7618345331 Enrollment ID: I20221130000147 |
| Provider Name | Abdel Michel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467003723 PECOS PAC ID: 9032566062 Enrollment ID: I20231113000953 |
| Provider Name | Randolph Joshua Malsky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730891755 PECOS PAC ID: 1658720925 Enrollment ID: I20231212001619 |
Pederson-krag Center, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 55 Horizon Dr, Huntington, NY 11743 Phone: 631-920-8000 Fax: 631-920-8167 | |
Park Avenue Gastroenterology & Digestive Health, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 755 Park Ave, Suite 200, Huntington, NY 11743 Phone: 631-683-4235 | |
Citymd Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 124 Main St Ste 16, Huntington, NY 11743 Phone: 631-423-7000 | |
Lipca Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7 Lawrence Hill Rd, Huntington, NY 11743 Phone: 631-351-8700 | |
Anthony J Antonucci M D P C Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 830 Park Ave, Carillon Nursing And Rehabilitation Center, Huntington, NY 11743 Phone: 631-827-6689 Fax: 631-673-4936 | |
Hrhcare Huntington Health Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 55 Horizon Dr, Huntington, NY 11743 Phone: 631-760-7746 Fax: 631-760-7748 | |
Ob/gyn Of Huntington Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 475 New York Ave, Huntington, NY 11743 Phone: 631-351-7100 |