Jennifer Stack, RD | |
122 Main St, New Paltz, NY 12561-1525 | |
(917) 370-7888 | |
Not Available |
Full Name | Jennifer Stack |
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Gender | Female |
Speciality | Dietitian, Registered |
Location | 122 Main St, New Paltz, 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 |
---|---|---|---|
1841783636 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | (* (Not Available)) | Primary |
Provider Name | Jennifer Stack Dietitian Pllc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1972098655 PECOS PAC ID: 6901153295 Enrollment ID: O20180718000230 |
Mailing Address | Practice Location Address |
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Jennifer Stack, RD Po Box 374, Gardiner, NY 12525-0374 Ph: (917) 370-7888 | Jennifer Stack, RD 122 Main St, New Paltz, NY 12561-1525 Ph: (917) 370-7888 |
Mrs. Catherine Elizabeth Fink, RD CDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 243 Main Street, Suite 220, New Paltz, NY 12561 Phone: 845-255-1978 Fax: 845-625-1452 | |
Ms. Vicki C Koenig, MS, RD, CDN Dietitian Medicare: Accepting Medicare Assignments Practice Location: 231 Main St, Suite 201, New Paltz, NY 12561 Phone: 845-255-2398 | |
Mrs. Sarada Rose Bernstein, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 5 Juniper St, New Paltz, NY 12561 Phone: 845-649-5932 | |
Christina M Notaro-barton, RD, CDN Dietitian Medicare: Medicare Enrolled Practice Location: 243 Main St, Suite 220, New Paltz, NY 12561 Phone: 845-255-1978 | |
Jennifer Stack Dietitian Pllc Dietitian Medicare: Medicare Enrolled Practice Location: 122 Main St, New Paltz, NY 12561 Phone: 917-370-7888 |