Provider Demographics
NPI:1497789218
Name:MOSTEL, ILONA KERTESZ (NP)
Entity Type:Individual
Prefix:MRS
First Name:ILONA
Middle Name:KERTESZ
Last Name:MOSTEL
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:270-05 76TH AVENUE,
Mailing Address - Street 2:LONG ISLAND JEWISH MEDICAL CENTER, DEPT OF OB/GYN
Mailing Address - City:NEW HYDE PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11040
Mailing Address - Country:US
Mailing Address - Phone:718-470-7700
Mailing Address - Fax:
Practice Address - Street 1:270-05 76TH AVENUE,
Practice Address - Street 2:LONG ISLAND JEWISH MEDICAL CENTER, DEPT OF OB/GYN
Practice Address - City:NEW HYDE PARK
Practice Address - State:NY
Practice Address - Zip Code:11040
Practice Address - Country:US
Practice Address - Phone:718-470-7700
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-10
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF000495367A00000X
NY360434363LX0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology
No367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice MidwifeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY290F000495Medicaid
NYS30692Medicare UPIN