Mita Dutta Kohanski, RD | |
321 Genesee St, Oneida, NY 13421-2611 | |
(315) 361-2028 | |
Not Available |
Full Name | Mita Dutta Kohanski |
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Gender | Female |
Speciality | Dietitian, Registered |
Location | 321 Genesee St, Oneida, 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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1003546573 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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133V00000X | Dietitian, Registered | (* (Not Available)) | Primary |
Provider Name | State Of New York Comptrollers Office |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1750469912 PECOS PAC ID: 0840101770 Enrollment ID: O20190313000800 |
Mailing Address | Practice Location Address |
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Mita Dutta Kohanski, RD 321 Genesee St, Oneida, NY 13421-2611 Ph: (315) 361-2028 | Mita Dutta Kohanski, RD 321 Genesee St, Oneida, NY 13421-2611 Ph: (315) 361-2028 |
Ms. Mollie Mcleod Tracy, RDN Dietitian Medicare: Medicare Enrolled Practice Location: 2057 Dream Catcher Plz, Oneida, NY 13421 Phone: 315-829-8700 | |
Michael J Washo, CDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2 Territory Rd, Oneida, NY 13421 Phone: 315-829-8700 Fax: 315-829-8731 | |
Sharon A Hoff, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 321 Genesee St, Oneida, NY 13421 Phone: 315-361-2028 Fax: 315-361-2328 |