Shiny M Easo (NPI# 1750791992, PAC ID# 4880976000) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1750791992 |
| PAC ID by PECOS | 4880976000 |
| Professional Enrollment ID | I20170124001756 |
| Full Name | Shiny M Easo |
| Address |
366 Broadway Bldg 5 Amityville NY 11701-2711 |
| Gender | F |
| Graduation Year | 2013 |
| Primary Specialty | NURSE PRACTITIONER |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330393 | SUNY/STONY BROOK UNIVERSITY HOSPITAL |
| 330234 | WESTCHESTER MEDICAL CENTER |
| 330106 | NS/LIJ HS-NORTH SHORE UNIVERSITY HOSPITAL AT MANHASSET |
| 330286 | GOOD SAMARITAN HOSPITAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 366 Broadway, Bldg 5, Amityville, NY 11701-2711 |
| Street Address |
366 BROADWAY BLDG 5 |
| City | AMITYVILLE |
| State | NY |
| Zip | 11701-2711 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Abid I Khan | Psychiatry | 366 Broadway, Amityville, NY 11701-2711 | |
| Igor Kirzhner | Psychiatry | 366 Broadway, Bldg 5, Amityville, NY 11701-2711 | |
| Mini Singh | Psychiatry | Rs Neuro Medical, P.C. | 366 Broadway, Suite 5, Amityville, NY 11701-2711 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shannon D Deluca | Physical Therapy | Maximum Motion Physical Therapy Pllc | 565 Albany Ave, Amityville, NY 11701-1115 |
| Alyssa Febbraro | Physical Therapy | Maximum Motion Physical Therapy Pllc | 565 Albany Ave, Amityville, NY 11701-1115 |
| Joanne Walters | Clinical Social Worker | 585 Albany Ave, Apt 147, Amityville, NY 11701-1170 | |
| Jacqueline Rosario | Clinical Social Worker | 118 Kenneth Ct, Amityville, NY 11701-1557 | |
| Jorge L Gardyn | Internal Medicine | 618 Broadway, Amityville, NY 11701-2124 | |
| Jesse T Johnson Ii | Physician Assistant | North Shore Lij Urgent Care PC | 801 Broadway, Suite 100, Amityville, NY 11701-2206 |
| Kimberly T Souffront | Nurse Practitioner | North Shore Lij Urgent Care PC | 801 Broadway, Suite 100, Amityville, NY 11701-2206 |
| Ruth L Guevara | Family Medicine | North Shore Lij Urgent Care PC | 801 Broadway, Suite 100, Amityville, NY 11701-2206 |
| Jason Gerard Tonno | Physician Assistant | North Shore Lij Urgent Care PC | 801 Broadway, Suite 100, Amityville, NY 11701-2206 |
| Erik G Walter | Physician Assistant | North Shore Lij Urgent Care PC | 801 Broadway, Suite 100, Amityville, NY 11701-2206 |
| Find all physicians in zip 11701 | |||
| City | AMITYVILLE |
| Zip Code | 11701 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | AMITYVILLE + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Shiny M Easo.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.