Corale Naor, RDN | |
20-21 Wagaraw Road, Suite 34, Fair Lawn, NJ 07410-1322 | |
(201) 566-4831 | |
Not Available |
Full Name | Corale Naor |
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Gender | Female |
Speciality | Dietitian, Registered |
Location | 20-21 Wagaraw Road, Fair Lawn, New Jersey |
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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1528725538 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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133V00000X | Dietitian, Registered | 86109285 (New Jersey) | Primary |
Provider Name | Sovereign Medical Group Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1710282082 PECOS PAC ID: 1456535392 Enrollment ID: O20110418000519 |
Mailing Address | Practice Location Address |
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Corale Naor, RDN 20-21 Wagaraw Road, Suite 34, Fair Lawn, NJ 07410-1322 Ph: (201) 566-4831 | Corale Naor, RDN 20-21 Wagaraw Road, Suite 34, Fair Lawn, NJ 07410-1322 Ph: (201) 566-4831 |
Mrs. Irina Trakhtman, MS, RD, CDCES Dietitian Medicare: Medicare Enrolled Practice Location: 11 Sheridan Pl, Fair Lawn, NJ 07410 Phone: 551-996-5684 | |
Emily Prendergast, MS, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 39-05 Sunderland Dr, Fair Lawn, NJ 07410 Phone: 201-315-0761 | |
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Catherine Messina, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 0069 Yerger Rd, Fair Lawn, NJ 07410 Phone: 201-396-2388 | |
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Top Smart Nutrition, Llc Dietitian Medicare: Not Enrolled in Medicare Practice Location: 36-01 Lenox Dr, Fair Lawn, NJ 07410 Phone: 201-252-7570 |