Theresa L Stavola (NPI# 1801045984, PAC ID# 8921274895) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1801045984 |
| PAC ID by PECOS | 8921274895 |
| Professional Enrollment ID | I20111223000005 |
| Full Name | Theresa L Stavola |
| Organization Legal Name | FAMILY SERVICE LEAGUE INC |
| Address |
1235 Montauk Hwy Mastic NY 11950-2917 |
| Phone Number | 6319243741 |
| Gender | F |
| Graduation Year | 1997 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 4284524448 |
| Number of Group Practice Members | 60 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1235 Montauk Hwy, Mastic, NY 11950-2917 | 6319243741 | FAMILY SERVICE LEAGUE INC |
| Organization Legal Name | FAMILY SERVICE LEAGUE INC |
| Physicians | 78 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amy C Dittler | Nurse Practitioner | Family Service League Inc | 208 Roanoke Ave, Riverhead, NY 11901-2706 |
| Pamela A Babcock | Clinical Social Worker | Family Service League Inc | 7555 Main Rd, Mattituck, NY 11952-1516 |
| Gregory H Reynolds | Clinical Social Worker | Family Service League Inc | 40 Main Sreet, Westhampton Beach, NY 11978 |
| Joseph C Roccosalvo | Clinical Social Worker | Family Service League Inc | 55 Horizon Dr, Huntington, NY 11743-4436 |
| Tiffany M Salzillo | Nurse Practitioner | Family Service League Inc | 1444 5th Ave, Bay Shore, NY 11706-4147 |
| Kinga Koreh | Psychiatry | Family Service League Inc | 316 Accabonac Rd, East Hampton, NY 11937-1932 |
| Jessica Aquino | Clinical Social Worker | Family Service League Inc | 320 Carleton Ave, Fl 8, Central Islip, NY 11722-4506 |
| Maged S Soliman | Psychiatry | Family Service League Inc | 790 Park Ave, Huntington, NY 11743-4516 |
| Patricia A Hartley-ferrandino | Clinical Social Worker | Family Service League Inc | 90 Adams Ave, Hauppauge, NY 11788-3631 |
| Robert Colucci | Psychiatry | Family Service League Inc | 1235 Montauk Hwy, Mastic, NY 11950-2917 |
| Street Address |
1235 MONTAUK HWY |
| City | MASTIC |
| State | NY |
| Zip | 11950-2917 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert Colucci | Psychiatry | Family Service League Inc | 1235 Montauk Hwy, Mastic, NY 11950-2917 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sally Peters | Clinical Social Worker | 20 Foxcroft St, Mastic, NY 11950-1325 | |
| Theresa Loscalzo Bacaris | Optometry | 1360 Montauk Hwy, Suite 2e, Mastic, NY 11950-2929 | |
| Jeffrey A Scaccio | Chiropractic | 1494 Montauk Hwy, Mastic, NY 11950-2935 | |
| Justin J Bonacci | Physical Therapy | Spagnoli Physical Therapy PC | 1636 Montauk Hwy, Suite 4, Mastic, NY 11950-3016 |
| Kelly Abrams | Physical Therapy | Spagnoli Physical Therapy PC | 1636 Montauk Hwy, Mastic, NY 11950-3016 |
| City | MASTIC |
| Zip Code | 11950 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | MASTIC + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Theresa L Stavola.
| 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.