Dietitians Of Northern New York | |
312 Sherman St, Watertown, NY 13601-3614 | |
(315) 486-6077 | |
(315) 486-6077 |
Full Name | Dietitians Of Northern New York |
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Type | Facility |
Speciality | Dietitian, Registered |
Location | 312 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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1457864456 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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133V00000X | Dietitian, Registered | (New York) | 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 |
Mailing Address | Practice Location Address |
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Dietitians Of Northern New York 16358 Star School House Rd, Dexter, NY 13634-3094 Ph: (315) 486-6077 | Dietitians Of Northern New York 312 Sherman St, Watertown, NY 13601-3614 Ph: (315) 486-6077 |
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 | |
Dawn Patricia Berry, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 215 Washington St, Suite 108, Watertown, NY 13601 Phone: 315-783-6810 | |
Mrs. Sheryl Sterling-skinner, M.S. R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 25682 Military Rd, Watertown, NY 13601 Phone: 402-730-3940 |