Michelle Brenseke, | |
150 Essex St, New York, NY 10002-2301 | |
(212) 477-1120 | |
(212) 477-8957 |
Full Name | Michelle Brenseke |
---|---|
Gender | Female |
Speciality | Dietitian, Registered |
Location | 150 Essex St, New York, 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 |
---|---|---|---|
1720531387 | NPI | - | NPPES |
00695941 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | 008659 (New York) | Primary |
Provider Name | Bronxcare Health System |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1245390855 PECOS PAC ID: 3870404429 Enrollment ID: O20040526001082 |
Mailing Address | Practice Location Address |
---|---|
Michelle Brenseke, 60 Madison Ave, 5th Fl, New York, NY 10010-1600 Ph: (212) 545-2400 | Michelle Brenseke, 150 Essex St, New York, NY 10002-2301 Ph: (212) 477-1120 |
Mrs. Laura Manning, R.D., C.D.N. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1 Gustave L Levy Pl, Box 1625, New York, NY 10029 Phone: 212-241-9426 | |
Erika Jacobson, RD,CDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1 Gustave L Levy Pl, New York, NY 10029 Phone: 917-241-5633 | |
Danielle Stark, RDN, CDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 205 W 88th St Apt 6d, New York, NY 10024 Phone: 973-954-0666 | |
Ms. Ellen Schranz, MS, MBA, RD, CDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1 Gustave L Levy Pl, Box 1067, New York, NY 10029 Phone: 212-241-4228 | |
Michelle Mock, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 525 East 68th Street, New York, NY 10065 Phone: 212-746-3520 Fax: 212-746-8577 | |
Limor Baum, M.S., R.D Dietitian Medicare: Not Enrolled in Medicare Practice Location: 393 W End Ave Apt 11e, New York, NY 10024 Phone: 212-874-9467 | |
Mrs. Shara Wagowski, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 525 E 68th St, Box 92, New York, NY 10065 Phone: 212-759-6999 |