Mrs Lisa Dawn Reisner, RD | |
1869 Brentwood Road, Brentwood, NY 11717 | |
(631) 853-3400 | |
Not Available |
Full Name | Mrs Lisa Dawn Reisner |
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Gender | Female |
Speciality | Dietitian, Registered |
Location | 1869 Brentwood Road, Brentwood, 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 |
---|---|---|---|
1194825695 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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133V00000X | Dietitian, Registered | 005739 (New York) | Primary |
Provider Name | Nys Office Of Mental Health |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1578627485 PECOS PAC ID: 3072782432 Enrollment ID: O20110802000194 |
Mailing Address | Practice Location Address |
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Mrs Lisa Dawn Reisner, RD 1869 Brentwood Road, Brentwood, NY 11717 Ph: (631) 853-3400 | Mrs Lisa Dawn Reisner, RD 1869 Brentwood Road, Brentwood, NY 11717 Ph: (631) 853-3400 |
Miss Maria P Aponte, BS,CDN,RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 998 Crooked Hill Rd, Brentwood, NY 11717 Phone: 516-356-7886 | |
Ms. Robin Olivia Blocker, RD, MA, IBCLC, CLC Dietitian Medicare: Not Enrolled in Medicare Practice Location: 22 Frank St, Brentwood, NY 11717 Phone: 631-747-3357 | |
Ms. Pamela Groh, RD, CDE Dietitian Medicare: Medicare Enrolled Practice Location: 1869 Brentwood Rd, Brentwood, NY 11717 Phone: 631-853-3426 |