MARYGRACE E COLUCCI


Address: 1703 Merrick Ave, Merrick, NY 11566-1628
Phone: 5163783311

MARYGRACE E COLUCCI (NPI# 1073009601) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1073009601
Entity Type Individual
Full Name MARYGRACE E COLUCCI
Credential NP
Practice Address 1703 Merrick Ave
Merrick
NY 11566-1628
Mailing Address 270 Twin Ln E
Wantagh
NY 11793-1963
Practice Telephone 5163783311
Practice Fax Number 5165461517
Mailing Telephone 9177749152
Enumeration Date 2018-07-06
Last Update Date 2018-07-06
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
F341074-1 NY Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1703 MERRICK AVE
City MERRICK
State NY
Zip Code 11566-1628

Providers in the same location

NPI Name Taxonomy Address Enumeration
1942289731 Neelam Gupta Internal Medicine 1703 Merrick Ave, Merrick, NY 11566-1628 2006-01-11
1629528906 Marina Stephen Physician Assistant 1703 Merrick Ave, Merrick, NY 11566-1628 2016-10-10
1619315975 Chs Physician Partners, PC Internal Medicine 1703 Merrick Ave, Merrick, NY 11566-1628 2013-06-10
1932499464 Jessica Boado Physician Assistant 1703 Merrick Ave, Merrick, NY 11566-1628 2011-04-18
1639471725 Merrick Nuclear Cardiolog Pllc Clinic/Center 1703 Merrick Ave, Merrick, NY 11566-1628 2010-11-23
1821399981 Merrick Medical Care Pllc Clinic/Center 1703 Merrick Ave, Merrick, NY 11566-1628 2010-11-05
1730394339 Erica Elkin Physician Assistant 1703 Merrick Ave, Merrick, NY 11566-1628 2007-05-14
1962444802 Arun Kumar Gupta Internal Medicine 1703 Merrick Ave, Merrick, NY 11566-1628 2006-06-12

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1538722657 Francis Gregory Coffey Psychologist 124 N Merrick Ave, Merrick, NY 11566 2019-04-15
1912499401 Icahn School of Medicine At Mount Sinai Registered Nurse 2209 Merrick Rd Ste 101, Merrick, NY 11566 2018-05-31
1013436732 Elisabeth Chandlin Walker Speech-Language Pathologist 2825 Bay Dr, Merrick, NY 11566 2017-09-13
1720509938 Gloria Lebeaux Social Worker 1860 Nassau Street, Merrick, NY 11566 2017-06-28
1104350941 Sari Klar Counselor 1991 Norshon Rd, Merrick, NY 11566 2017-04-19
1447790563 Yash Shah Student in an Organized Health Care Education/Training Program 1068 Susan Ct, Merrick, NY 11566 2017-03-08
1457700320 Rachel Zimmern Specialist 16 Arbor Ln, Merrick, NY 11566 2016-06-10
1326435785 Christine Cione Counselor 2116 Merrick Avenue, Suite 2006, Merrick, NY 11566 2015-04-22
1407269590 Yolanda Stahl Dpm PC Podiatrist 1457 Merrick Ave, Merrick, NY 11566 2014-06-05
1629496575 Sara D Lobato Registered Nurse 1970 Brook Park Dr, Merrick, NY 11566 2014-03-28
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1043795255 Galia Bagdasarov Nurse Practitioner 2079 Lawry Ln, Merrick, NY 11566-5317 2018-10-03
1164798021 Siobhain Therese Mchale Nurse Practitioner 9 Third Ave, Merrick, NY 11566 2012-03-26
1982978631 Sheryl Mara Zang Nurse Practitioner 2946 Wynsum Ave, Merrick, NY 11566-5413 2012-02-28
1669652756 Lynn M Helmsorig Nurse Practitioner 1805 Commonwealth Ave, Merrick, NY 11566-3523 2007-11-06
1073632956 Michael C Poliseno Nurse Practitioner 2094 Merrick Ave, Merrick, NY 11566-3147 2007-03-29
1588210561 Darlene Maria Sanchez Nurse Practitioner 389 Merrick Ave, Merrick, NY 11566-2723 2019-08-14
1992062509 Bryan Christopher Lovejoy Nurse Practitioner 31 Merrick Ave, Merrick, NY 11566-3477 2012-04-19
1184958712 Michael Poliseno Family Health Nurse Practitioner PC Nurse Practitioner 2094 Merrick Ave, Merrick, NY 11566-3147 2009-09-29
1881895563 Louisa Mae Fennell Nurse Practitioner 1695 Merrick Ave, Merrick, NY 11566-1628 2007-05-30

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1184225880 Aleksandr Gurgov Nurse Practitioner 740 E 9th St, Brooklyn, NY 11230-2202 2020-11-08
1437750171 Dana Alberico Lonis Nurse Practitioner 246 Waldorf Pkwy, Syracuse, NY 13224-2118 2020-11-07
1396346136 Amarachukwu U Egbujor Nurse Practitioner 565 Pine St, Brooklyn, NY 11208-3901 2020-11-06
1568063378 Valerie Cantave Nurse Practitioner 152 Somerset Dr, Suffern, NY 10901-6904 2020-11-06
1366043259 Lora Hong Nurse Practitioner 55 Underhill Rd, Scarsdale, NY 10583-1040 2020-11-05
1235730102 Lane Marie Knight Nurse Practitioner 8145 Rapallo Way, Clay, NY 13041-8893 2020-11-05
1073114112 Karen Liu Nurse Practitioner 154 Bay 35th St, Brooklyn, NY 11214-5308 2020-11-04
1871194027 Wai Ying Chan Nurse Practitioner 659 Britton Ave, Staten Island, NY 10304-4463 2020-11-04
1063013258 Iris Massiel Garcia Nurse Practitioner 2206 Dr Martin L King Jr Blvd, Bronx, NY 10453-1307 2020-11-04
1104427525 Jeanine R Williams Nurse Practitioner 4213 Foster Ave, Brooklyn, NY 11203-5711 2020-11-03
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Competitor

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City MERRICK
Zip Code 11566

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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