Lynn P Hillery/live Well With Lynn | |
76 Southaven Ave, Ste 2, Medford, NY 11763-3745 | |
(631) 343-2024 | |
(631) 343-2024 |
Full Name | Lynn P Hillery/live Well With Lynn |
---|---|
Type | Facility |
Speciality | Dietitian, Registered |
Location | 76 Southaven Ave, Medford, New York |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1124348610 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | 006087-1 (New York) | Primary |
Mailing Address | Practice Location Address |
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Lynn P Hillery/live Well With Lynn 25 Andrea Ln, West Sayville, NY 11796-1515 Ph: () - | Lynn P Hillery/live Well With Lynn 76 Southaven Ave, Ste 2, Medford, NY 11763-3745 Ph: (631) 343-2024 |
Samantha Vallejo, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3108 Gull Ave, Medford, NY 11763 Phone: 631-294-2090 | |
Michael Lopez, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 403 Lake Dr, Medford, NY 11763 Phone: 718-578-1375 | |
Lynn P Hillery, MS RD CDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 76 Southaven Ave Ste 2, Medford, NY 11763 Phone: 631-343-2024 Fax: 631-343-2024 |