Mr Clinton Harold Wattenberg, RD in Ithaca, NY

Mr Clinton Harold Wattenberg, RD is a Dietitian, Registered based in Ithaca, New York. Mr Clinton Harold Wattenberg is licensed to practice in New York (license number 1044495) and his current practice location is 949 E State St, Ithaca, New York. He can be reached at his office (for appointments etc.) via phone at (607) 227-9344.

NPI number for Mr Clinton Harold Wattenberg is 1942580501 and his current mailing address is 949 E State St, Ithaca, New York. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1942580501.

Contact Information

	Mr Clinton Harold Wattenberg, RD
	949 E State St, Ithaca, NY 14850-6158
	(607) 227-9344
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Clinton Harold Wattenberg
Gender	Male
Speciality	Dietitian, Registered
Location	949 E State St, Ithaca, New York
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1942580501
Provider Enumeration Date: 08/26/2011
Last Update Date: 08/26/2011

Medical Identifiers

Medical identifiers for Mr Clinton Harold Wattenberg such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1942580501	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	1044495 (New York)	Primary
133VN1004X	Dietitian, Registered - Nutrition, Pediatric	1044495 (New York)	Secondary
133VN1006X	Dietitian, Registered - Nutrition, Metabolic	1044495 (New York)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	1044495 (New York)	Secondary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Clinton Harold Wattenberg is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mr Clinton Harold Wattenberg, RD 949 E State St, Ithaca, NY 14850-6158 Ph: (607) 227-9344	Mr Clinton Harold Wattenberg, RD 949 E State St, Ithaca, NY 14850-6158 Ph: (607) 227-9344

Reviews and Comments

Dietitian, Registered in Ithaca, NY

Alexandra Marie Clinton, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 108 N Plain St, Ithaca, NY 14850 Phone: 607-227-5529
Ms. Nancy Jamison Peckenpaugh, MSED RD CDN CDE Dietitian Medicare: Accepting Medicare Assignments Practice Location: 1216 Trumansburg Road, Ithaca, NY 14850 Phone: 607-272-1297 Fax: 607-272-2366
Tamara Arleen Reynolds, RD Dietitian Medicare: Medicare Enrolled Practice Location: 1780 Hanshaw Rd, Ithaca, NY 14850 Phone: 607-257-5858 Fax: 607-257-1718
Nancy J Peckenpaugh Nutrition Pllc Dietitian Medicare: Medicare Enrolled Practice Location: 1216 Trumansburg Rd, Ithaca, NY 14850 Phone: 607-272-1297 Fax: 607-272-2366
Mrs. Bonita Ann Davis, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 681 Snyder Hill Rd, Ithaca, NY 14850 Phone: 607-277-2943
Ms. Lauren J. Marino, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 310 Old Taughannock Blvd, Ithaca, NY 14850 Phone: 607-252-3590
Christina M Figueroa, MS, RD, CSSD, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 110 Ho Plz, Ithaca, NY 14853 Phone: 512-865-9311

Mr Clinton Harold Wattenberg, RD - Dietitian in Ithaca, NY