Rosemary P Luke, NPP
Nurse Practitioner, Psych/Mental Health in Ronkonkoma, NY. Individual provider (NPI-1).
NPI number1255412540
StatusActive
Last updated in NPPESMar 12, 2009
Details
- NPI
- 1255412540
- Entity type
- Individual (NPI-1)
- Name
- Ms. Rosemary P Luke
- Credential
- NPP
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 17, 2006
- Last updated
- Mar 12, 2009
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | F400096-1 | NY | Yes |
Practice location
939 Johnson AveRonkonkoma, NY 11779-6066
Phone 631-852-1440 · Fax 631-852-1448
Mailing address
144 Hampton Vista DrManorville, NY 11949-2859
Phone 631-909-2831
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Psychiatric/Mental Health Nurse Practitioner providers in Ronkonkoma, NY
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