Carolyn Allen, RD, CDN | |
4500 Pewter Ln Bldg 8&9, Manlius, NY 13104-9707 | |
(315) 683-4263 | |
Not Available |
Full Name | Carolyn Allen |
---|---|
Gender | Female |
Speciality | Dietitian, Registered |
Location | 4500 Pewter Ln Bldg 8&9, Manlius, 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 |
---|---|---|---|
1356864771 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | 008357 (New York) | Primary |
Provider Name | Rural Roots Nutrition Pllc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1285143651 PECOS PAC ID: 2466810791 Enrollment ID: O20230620000751 |
Mailing Address | Practice Location Address |
---|---|
Carolyn Allen, RD, CDN 1672 Pompey Center Rd, Fabius, NY 13063-8703 Ph: () - | Carolyn Allen, RD, CDN 4500 Pewter Ln Bldg 8&9, Manlius, NY 13104-9707 Ph: (315) 683-4263 |
Nicholas Trinkle, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 307 Sherbrooke Rd, Manlius, NY 13104 Phone: 410-908-0604 | |
Patricia D Endy, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 4965 S Eagle Village Rd, Manlius, NY 13104 Phone: 315-395-6412 | |
Scarlett Kroboth Sampsell, R.D.N., C.D./N. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 4187 Palmer Rd, Manlius, NY 13104 Phone: 315-682-9620 Fax: 315-458-1457 |