Shannan M Maxey-ricoy (NPI# 1700828340, PAC ID# 7618989047) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1700828340 |
| PAC ID by PECOS | 7618989047 |
| Professional Enrollment ID | I20110912000485 |
| Full Name | Shannan M Maxey-ricoy |
| Organization Legal Name | SOUTH SHORE FAMILY PRACTICE, D.O., P.C. |
| Address |
616 Broadway Massapequa NY 11758-5024 |
| Phone Number | 5167958446 |
| Gender | F |
| Graduation Year | 2003 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 9931369709 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 616 Broadway, Massapequa, NY 11758-5024 | 5167958446 | SOUTH SHORE FAMILY PRACTICE, D.O., P.C. |
| 1000 Park Blvd, Rear Annex, Massapequa Park, NY 11762-2740 | 5167958446 | SOUTH SHORE FAMILY PRACTICE, D.O., P.C. |
| Organization Legal Name | SOUTH SHORE FAMILY PRACTICE, D.O., P.C. |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert A Tufano | Family Medicine | South Shore Family Practice, D.o., P.C. | 616 Broadway, Massapequa, NY 11758-5024 |
| Street Address |
616 BROADWAY |
| City | MASSAPEQUA |
| State | NY |
| Zip | 11758-5024 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert A Tufano | Family Medicine | South Shore Family Practice, D.o., P.C. | 616 Broadway, Massapequa, NY 11758-5024 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Olena O Guzhva | Rheumatology | 200 Boundary Ave, Suite 200, Massapequa, NY 11758-1152 | |
| Steven A Gazzo | Physical Therapy | 200 Boundary Ave, Suite 205, Massapequa, NY 11758-1152 | |
| Ebenezer P Thangavelu | Nurse Practitioner | Long Island Medical Services P.C. | 200 Boundary Ave, Suite 200, Massapequa, NY 11758-1152 |
| Danielle R Mcloughlin | Nurse Practitioner | Long Island Medical Services P.C. | 200 Boundary Ave, Suite 200, Massapequa, NY 11758-1152 |
| Nancy Nimmiti | Nurse Practitioner | St Francis Cardiovascular Physicians PC | 510 Hicksville Rd, Massapequa, NY 11758-1203 |
| Troy Fabregas | Family Medicine | Island Family Medical Practice, PC | 848 Hicksville Rd, North Massapequa, NY 11758-1210 |
| Linda Deleo | Nurse Practitioner | Island Family Medical Practice, PC | 848 Hicksville Rd, North Massapequa, NY 11758-1210 |
| Dion Andrew Visconti | Chiropractic | 888 Hicksville Rd, North Massapequa, NY 11758-1215 | |
| Urszula G Brozek | Physical Therapy | 1148 Hicksville Rd, Massapequa, NY 11758-1256 | |
| Andrew M Margulies | Chiropractic | 1148 Hicksville Rd, Massapequa, NY 11758-1256 | |
| Find all physicians in zip 11758 | |||
| City | MASSAPEQUA |
| Zip Code | 11758 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | MASSAPEQUA + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Shannan M Maxey-ricoy.
| 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.