Kelvin Lee, RD, CDN | |
800 Hooper Rd, Endwell, NY 13760-1560 | |
(607) 757-0444 | |
(607) 748-8984 |
Full Name | Kelvin Lee |
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Gender | Male |
Speciality | Dietitian, Registered - Nutrition, Metabolic |
Location | 800 Hooper Rd, Endwell, 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 |
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1568843803 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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133VN1006X | Dietitian, Registered - Nutrition, Metabolic | 007771 (New York) | Primary |
Provider Name | United Health Services Hospitals, Inc. |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1962463851 PECOS PAC ID: 5193610533 Enrollment ID: O20040216001017 |
Mailing Address | Practice Location Address |
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Kelvin Lee, RD, CDN 33 Lewis Rd, 2nd Floor, Binghamton, NY 13905-1048 Ph: () - | Kelvin Lee, RD, CDN 800 Hooper Rd, Endwell, NY 13760-1560 Ph: (607) 757-0444 |
Mr. Garrett Jon Modlo, M.S.,R.D.,C.D.N Dietitian Medicare: Not Enrolled in Medicare Practice Location: 622 Lacey Dr, Endwell, NY 13760 Phone: 607-321-1135 | |
Lauren Castellucci, RD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 415 Hooper Rd, Endwell, NY 13760 Phone: 607-754-3863 | |
Wendy K Wolff, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 415 Hooper Rd, Endwell, NY 13760 Phone: 607-754-3863 Fax: 607-754-5697 | |
Mrs. Helen Battisti, RD Dietitian Medicare: Medicare Enrolled Practice Location: 415 Hooper Rd, Endwell Family Physicians Llp, Endwell, NY 13760 Phone: 607-754-3863 Fax: 607-754-5697 |