Dietitians Of Northern New York | |
415 Sherman St, Watertown, NY 13601-3920 | |
(315) 221-4881 | |
(315) 777-4111 |
Full Name | Dietitians Of Northern New York |
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Type | Facility |
Speciality | Dietitian, Registered |
Location | 415 Sherman St, Watertown, New York |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1316515208 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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133V00000X | Dietitian, Registered | (* (Not Available)) | Primary |
Provider Name | Etosha Lynn Farmer |
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Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1144518499 PECOS PAC ID: 4688847270 Enrollment ID: I20111026000623 |
Provider Name | Amanda Lyn Woolnough |
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Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1760126627 PECOS PAC ID: 8224403373 Enrollment ID: I20230404000487 |
Provider Name | Laura Jean Mcmanus |
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Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1881186468 PECOS PAC ID: 5193180354 Enrollment ID: I20230424001687 |
Mailing Address | Practice Location Address |
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Dietitians Of Northern New York 415 Sherman St, Watertown, NY 13601-3920 Ph: (315) 221-4881 | Dietitians Of Northern New York 415 Sherman St, Watertown, NY 13601-3920 Ph: (315) 221-4881 |
Watertown Urban Mission Dietitian Medicare: Not Enrolled in Medicare Practice Location: 247 Factory St, Watertown, NY 13601 Phone: 315-782-8440 | |
Mrs. Mariana Olga Serback, MS, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 19500 Woodside Dr, Watertown, NY 13601 Phone: 315-778-9218 | |
Feed The Soul Nutrition Dietitian Medicare: Not Enrolled in Medicare Practice Location: 312 Sherman Street, Watertown, NY 13601 Phone: 315-955-9998 Fax: 315-782-0386 | |
Dawn Patricia Berry, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 215 Washington St, Suite 108, Watertown, NY 13601 Phone: 315-783-6810 | |
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 | |
Mr. Brandon Lukas Lee, MS, RD, LDN, CCRP Dietitian Medicare: Not Enrolled in Medicare Practice Location: 30 Flower Ave. E, Watertown, NY 13601 Phone: 845-224-8937 |