Amanda Mcconkey, RD | |
2125 River Rd Ste 302, Niskayuna, NY 12309-1136 | |
(518) 831-7033 | |
(518) 831-7020 |
Full Name | Amanda Mcconkey |
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Gender | Female |
Speciality | Dietitian, Registered |
Location | 2125 River Rd Ste 302, Niskayuna, 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 |
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1376285627 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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133V00000X | Dietitian, Registered | 010882 (New York) | Primary |
Provider Name | Ellis Hospital |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1487644993 PECOS PAC ID: 5890607410 Enrollment ID: O20031103000406 |
Mailing Address | Practice Location Address |
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Amanda Mcconkey, RD 600 Mcclellan St, Schenectady, NY 12304-1009 Ph: () - | Amanda Mcconkey, RD 2125 River Rd Ste 302, Niskayuna, NY 12309-1136 Ph: (518) 831-7033 |
Lauren Duffey, RD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 2125 River Rd Ste 302, Niskayuna, NY 12309 Phone: 518-243-1313 | |
Robin L. Rappazzo, RD Dietitian Medicare: Medicare Enrolled Practice Location: 2125 River Rd Ste 302, Niskayuna, NY 12309 Phone: 518-243-1313 | |
Nickisha Pooran, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2125 River Rd, Niskayuna, NY 12309 Phone: 518-831-7010 | |
Mrs. Dianne M Fagan, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2310 Nott St E, Suite 100, Niskayuna, NY 12309 Phone: 518-526-0004 Fax: 518-381-9554 | |
Catherine Dascher, RD, CDE Dietitian Medicare: Accepting Medicare Assignments Practice Location: 2125 River Rd Ste 303, Niskayuna, NY 12309 Phone: 518-213-6910 Fax: 518-213-6915 | |
Jessica Fontanelli, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2125 River Rd, Suite 302, Niskayuna, NY 12309 Phone: 518-243-1313 Fax: 518-831-7007 |