Miranda Bethin, MS, RD, CDN | |
742 Delaware Ave, Buffalo, NY 14209-2202 | |
(716) 431-5100 | |
Not Available |
Full Name | Miranda Bethin |
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Gender | Female |
Speciality | Dietitian, Registered |
Location | 742 Delaware Ave, Buffalo, 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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1114672839 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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133V00000X | Dietitian, Registered | 010572 (New York) | Primary |
Provider Name | Western New York Integrated Care Collaborative Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1881101954 PECOS PAC ID: 0749536159 Enrollment ID: O20180627001493 |
Mailing Address | Practice Location Address |
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Miranda Bethin, MS, RD, CDN 22 Keats Ave, Tonawanda, NY 14150-8540 Ph: () - | Miranda Bethin, MS, RD, CDN 742 Delaware Ave, Buffalo, NY 14209-2202 Ph: (716) 431-5100 |
Stephanie Ann Lomas, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 462 Grider St, Buffalo, NY 14215 Phone: 716-898-3000 | |
Tara Lyn Cloutier, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 307 East St, Buffalo, NY 14207 Phone: 716-860-1731 | |
Ms. Barbara A Sylvester, RD, CDE Dietitian Medicare: Medicare Enrolled Practice Location: 3 Gates Cir, Buffalo, NY 14209 Phone: 716-887-5385 | |
Mrs. Lisa M. Bradt, RD, CSR, CDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 300 Delaware Ave, Suite 100, Buffalo, NY 14202 Phone: 716-903-3730 | |
Perizat Adylbekova, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 11 Robin Rd, Buffalo, NY 14228 Phone: 716-320-0303 | |
Traci Punturiero, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 219 Bryant Street, Buffalo, NY 14222 Phone: 716-878-7893 | |
Rachel Laster, RD, RDN Dietitian Medicare: Medicare Enrolled Practice Location: 33 Manhart St, Buffalo, NY 14215 Phone: 716-812-1577 |