Mrs Jennifer Rebecca Kantorak, RD LD | |
12300 Mccracken Road, Diabetes Center, Garfield Heights, OH 44125 | |
(216) 584-4377 | |
(216) 584-4372 |
Full Name | Mrs Jennifer Rebecca Kantorak |
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Gender | Female |
Speciality | Dietitian, Registered |
Location | 12300 Mccracken Road, Garfield Heights, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1487852265 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | 4428 (Ohio) | Primary |
Provider Name | Integrative Psychological Health Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1134587017 PECOS PAC ID: 6608174685 Enrollment ID: O20160406002375 |
Mailing Address | Practice Location Address |
---|---|
Mrs Jennifer Rebecca Kantorak, RD LD 12300 Mccracken Road, Diabetes Center, Garfield Heights, OH 44125 Ph: (216) 584-4377 | Mrs Jennifer Rebecca Kantorak, RD LD 12300 Mccracken Road, Diabetes Center, Garfield Heights, OH 44125 Ph: (216) 584-4377 |
Deena Goldman, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 12300 Mccracken Rd, Garfield Heights, OH 44125 Phone: 216-581-0500 | |
Mrs. Kristen C. Puhlman, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 12300 Mccracken Rd, Suite 253, Garfield Heights, OH 44125 Phone: 216-587-8246 Fax: 216-584-4372 | |
Amanda Marie Liptak, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 5706 Turney Rd Ste 202, Garfield Heights, OH 44125 Phone: 330-441-1706 | |
Maria Jose Garcia Luis, RD Dietitian Medicare: Medicare Enrolled Practice Location: 12300 Mccracken Rd, Garfield Heights, OH 44125 Phone: 216-581-0500 | |
Andrew Ruebensaal, R.D., L.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 12300 Mccracken Rd, Garfield Heights, OH 44125 Phone: 216-587-8998 | |
Irena Bovkun, RD, LD, CNSC Dietitian Medicare: Not Enrolled in Medicare Practice Location: 12300 Mccracken Rd, Garfield Heights, OH 44125 Phone: 216-587-8998 |