Vicky Adelson
Individual provider Active NPI Nurse Practitioner · Manhasset, NY
NPI 1255059366 · NPPES record last updated Mar 9, 2023
Key facts
- NPI
- 1255059366
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 350165 (NY)
- Practice address
- 300 Community Dr
Manhasset, NY 11030-3816 - Phone
- (516) 562-0100
- NPI assigned
- Aug 16, 2022
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 350165 | NY | MD | Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 350165 | NY | Yes |
Addresses
Primary practice location
300 Community Dr
Manhasset, NY 11030-3816
Mailing address
300 Community Dr
Manhasset, NY 11030-3816
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | vrene1@northwell.edu | Direct |
Other providers in Manhasset, NY
- Acute Cardiac Care PLLC
- Najma Adam
- Tarek Nabil Adam
- Aimee Nicole Adamo
- Adar Medical Supplies Inc
- Oluwaseun Adeosun
- Kofi Adomako
- Advanced Cardiovascular Diagnostics PLLC
- Advanced Cardiovascular Diagnostics, PLLC
- Advanced Podiatry of Manhasset, PLLC
All providers in Manhasset, NY · Nurse Practitioner in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 9, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.