Jacqueline E Wyman, MS, RD, CDN | |
3 Orchard Dr, Purchase, NY 10577-2205 | |
(917) 797-7809 | |
Not Available |
Full Name | Jacqueline E Wyman |
---|---|
Gender | Female |
Speciality | Dietitian, Registered |
Location | 3 Orchard Dr, Purchase, 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 |
---|---|---|---|
1699432401 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133VN1201X | Dietitian, Registered - Nutrition, Obesity And Weight Management | (* (Not Available)) | Secondary |
133V00000X | Dietitian, Registered | (* (Not Available)) | Primary |
Provider Name | Nutrition In Motion |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1548437312 PECOS PAC ID: 7416091996 Enrollment ID: O20221213000482 |
Mailing Address | Practice Location Address |
---|---|
Jacqueline E Wyman, MS, RD, CDN 3 Orchard Dr, Purchase, NY 10577-2205 Ph: (917) 797-7809 | Jacqueline E Wyman, MS, RD, CDN 3 Orchard Dr, Purchase, NY 10577-2205 Ph: (917) 797-7809 |
Karalynn Chiazzese, M.S., R.D, C.D.N Dietitian Medicare: Accepting Medicare Assignments Practice Location: 3030 Westchester Ave, Purchase, NY 10577 Phone: 914-831-4150 Fax: 914-831-4151 | |
Mrs. Stephanie Casper, MS, RD Dietitian Medicare: Medicare Enrolled Practice Location: 3030 Westchester Ave, Purchase, NY 10577 Phone: 914-831-4150 Fax: 914-457-1526 | |
In Jung Gabrielle Lifrieri, R.D. Dietitian Medicare: Accepting Medicare Assignments Practice Location: 3030 Westchester Ave, Purchase, NY 10577 Phone: 914-831-4100 Fax: 914-831-4101 | |
Ms. Jennifer Amy Schaeffer, R.D. Dietitian Medicare: Accepting Medicare Assignments Practice Location: 3020 Westchester Ave, Purchase, NY 10577 Phone: 914-831-4100 Fax: 914-831-4101 |