Crystal Clear Nutrition, Pllc is a
Dietitian, Registered based in Herkimer, New York. Crystal Clear Nutrition, Pllc is licensed to practice in New York (license number 0053821) and their current practice location is
420 E German St Ste 103a, Herkimer, New York. It can be reached at their office (for appointments etc.) via phone at
(315) 717-2202.
NPI number for Crystal Clear Nutrition, Pllc is 1043609779 and their current mailing address is 420 E German St Ste 103a, Herkimer, New York. Crystal Clear Nutrition, Pllc
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1043609779.
Healthcare Provider's Profile
Full Name | Crystal Clear Nutrition, Pllc |
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Type | Facility |
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Speciality | Dietitian, Registered |
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Location | 420 E German St Ste 103a, Herkimer, New York |
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Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
NPI Data:
- NPI Number: 1043609779
- Provider Enumeration Date: 01/19/2015
- Last Update Date: 03/20/2015
Medical Identifiers
Medical identifiers for Crystal Clear Nutrition, Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1043609779 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | 0053821 (New York) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Crystal Clear Nutrition, Pllc is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Crystal Clear Nutrition, Pllc 420 E German St Ste 103a, Herkimer, NY 13350-1042 Ph: (315) 717-2202 | Crystal Clear Nutrition, Pllc 420 E German St Ste 103a, Herkimer, NY 13350-1042 Ph: (315) 717-2202 |
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