Heidi Marie Behrens-angelo, RD, CDN | |
427 Guy Park Avenue, Amsterdam, NY 12010 | |
(518) 841-7189 | |
Not Available |
Full Name | Heidi Marie Behrens-angelo |
---|---|
Gender | Female |
Speciality | Dietitian, Registered |
Location | 427 Guy Park Avenue, Amsterdam, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1316121569 | NPI | - | NPPES |
DD-3754 | Other | MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | 006431 (New York) | Primary |
Provider Name | State Of New York Comptrollers Office |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1750469912 PECOS PAC ID: 0840101770 Enrollment ID: O20190313000800 |
Mailing Address | Practice Location Address |
---|---|
Heidi Marie Behrens-angelo, RD, CDN 427 Guy Park Avenue, Amsterdam, NY 12010 Ph: (518) 841-7189 | Heidi Marie Behrens-angelo, RD, CDN 427 Guy Park Avenue, Amsterdam, NY 12010 Ph: (518) 841-7189 |
Kathleen Ann Miller, MS, RD, CDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 427 Guy Park Ave, Amsterdam, NY 12010 Phone: 518-841-7186 | |
Ms. Carolyn Helen Meyers, MS RD CDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 427 Guy Park Ave, St Mary's Hospital, Amsterdam, NY 12010 Phone: 518-841-7189 | |
Melissa Kopf, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 427 Guy Park Ave, Amsterdam, NY 12010 Phone: 518-770-7555 |