Miss Emily Devenezia, RD | |
99 Yorkshire Blvd, Syracuse, NY 13219-1739 | |
(315) 460-0802 | |
(877) 819-2425 |
Full Name | Miss Emily Devenezia |
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Gender | Female |
Speciality | Dietitian, Registered |
Location | 99 Yorkshire Blvd, Syracuse, 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 |
---|---|---|---|
1528701448 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | 86101321 (New York) | Primary |
Provider Name | Wellory, Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1225756539 PECOS PAC ID: 6507234275 Enrollment ID: O20221130002592 |
Mailing Address | Practice Location Address |
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Miss Emily Devenezia, RD 9949 E Steuben Rd, Remsen, NY 13438-4139 Ph: (315) 315-6336 | Miss Emily Devenezia, RD 99 Yorkshire Blvd, Syracuse, NY 13219-1739 Ph: (315) 460-0802 |
Juliann Mellen, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 90 Presidential Plz, Syracuse, NY 13202 Phone: 315-464-3716 | |
Ms. Diana Stuber, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 725 E Adams St Fl 5, Syracuse, NY 13210 Phone: 315-464-5726 Fax: 315-464-2510 | |
Mrs. Kellie Faughander Wall, RD, CNSC, CDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 750 E Adams St, Syracuse, NY 13210 Phone: 240-490-1346 | |
Amy M Bailey, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 800 S Wilbur Ave, Syracuse, NY 13204 Phone: 315-478-0463 Fax: 315-476-9757 | |
Jeanne Cecile Scheurer, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 800 Irving Ave, Syracuse, NY 13210 Phone: 315-425-4357 Fax: 315-425-4375 | |
Ms. Elizabeth A Dittmar, RD CDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 800 S Wilbur Ave, Syracuse, NY 13204 Phone: 315-253-6283 Fax: 315-282-0024 | |
Mrs. Jennifer Zingaro, RD CDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 910 Erie Blvd E, Cny Dialysis Center, Syracuse, NY 13210 Phone: 315-410-8040 Fax: 315-410-8030 |