| Mr Garrett Jon Modlo, MS,RD,CDN | |
|
622 Lacey Dr, Endwell, NY 13760-2545 | |
| (607) 321-1135 | |
| Not Available |
| Full Name | Mr Garrett Jon Modlo |
|---|---|
| Gender | Male |
| Speciality | Dietitian, Registered |
| Location | 622 Lacey Dr, Endwell, New York |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023391315 | NPI | - | NPPES |
| 005584 | Medicaid | NY | |
| 925332 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 005584 (New York) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Garrett Jon Modlo, MS,RD,CDN 622 Lacey Dr, Endwell, NY 13760-2545 Ph: (607) 321-1135 | Mr Garrett Jon Modlo, MS,RD,CDN 622 Lacey Dr, Endwell, NY 13760-2545 Ph: (607) 321-1135 |
Lauren Castellucci, RD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 415 Hooper Rd, Endwell, NY 13760 Phone: 607-754-3863 | |
Kelvin Lee, RD, CDN Dietitian Medicare: Medicare Enrolled Practice Location: 800 Hooper Rd, Endwell, NY 13760 Phone: 607-757-0444 Fax: 607-748-8984 | |
Wendy K Wolff, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 415 Hooper Rd, Endwell, NY 13760 Phone: 607-754-3863 Fax: 607-754-5697 | |
Mrs. Helen Battisti, RD Dietitian Medicare: Medicare Enrolled Practice Location: 415 Hooper Rd, Endwell Family Physicians Llp, Endwell, NY 13760 Phone: 607-754-3863 Fax: 607-754-5697 |