Dolly Ann Conklin, RD is a
Dietitian, Registered based in Montgomery, New York. Dolly Ann Conklin is licensed to practice in New York (license number 006118) and her current practice location is
20 Walnut St, Suite B, Montgomery, New York. She can be reached at her office (for appointments etc.) via phone at
(845) 457-5555.
NPI number for Dolly Ann Conklin is 1992751309 and her current mailing address is 3298 Route 94, Chester, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1992751309.
Healthcare Provider's Profile
| Full Name | Dolly Ann Conklin |
|---|
| Gender | Female |
|---|
| Speciality | Dietitian, Registered |
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| Location | 20 Walnut St, Montgomery, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1992751309
- Provider Enumeration Date: 05/26/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dolly Ann Conklin such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1992751309 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 133V00000X | Dietitian, Registered | 006118 (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. Dolly Ann Conklin 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 |
|---|
Dolly Ann Conklin, RD
3298 Route 94,
Chester, NY 10918-4106
Ph: (845) 457-5555 | Dolly Ann Conklin, RD
20 Walnut St, Suite B,
Montgomery, NY 12549-2230
Ph: (845) 457-5555 |
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