Amanda Lyn Woolnough, RDN | |
415 Sherman St, Watertown, NY 13601-3920 | |
(315) 221-4881 | |
Not Available |
Full Name | Amanda Lyn Woolnough |
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Gender | Female |
Speciality | Dietitian, Registered |
Location | 415 Sherman St, Watertown, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1760126627 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | (* (Not Available)) | Primary |
Provider Name | Dietitians Of Northern New York Pllc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1316515208 PECOS PAC ID: 8022497981 Enrollment ID: O20220623000806 |
Mailing Address | Practice Location Address |
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Amanda Lyn Woolnough, RDN 335 Moulton St, Watertown, NY 13601-2035 Ph: (315) 222-8896 | Amanda Lyn Woolnough, RDN 415 Sherman St, Watertown, NY 13601-3920 Ph: (315) 221-4881 |
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Dietitians Of Northern New York Dietitian Medicare: Medicare Enrolled Practice Location: 415 Sherman St, Watertown, NY 13601 Phone: 315-221-4881 Fax: 315-777-4111 | |
Dietitians Of Northern New York Dietitian Medicare: Medicare Enrolled Practice Location: 312 Sherman St, Watertown, NY 13601 Phone: 315-486-6077 Fax: 315-486-6077 | |
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