Ms Amanda Michelle Smith, MS, RD, CDN, CNSC | |
111 Horton St, Malverne, NY 11565-1512 | |
(845) 661-8993 | |
Not Available |
Full Name | Ms Amanda Michelle Smith |
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Gender | Female |
Speciality | Dietitian, Registered |
Location | 111 Horton St, Malverne, 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 |
---|---|---|---|
1245701796 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | 86108396 (California) | Primary |
Provider Name | Wellory, Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1225756539 PECOS PAC ID: 6507234275 Enrollment ID: O20221130002592 |
Mailing Address | Practice Location Address |
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Ms Amanda Michelle Smith, MS, RD, CDN, CNSC 111 Horton St, Malverne, NY 11565-1512 Ph: (845) 661-8993 | Ms Amanda Michelle Smith, MS, RD, CDN, CNSC 111 Horton St, Malverne, NY 11565-1512 Ph: (845) 661-8993 |
Aricha Harker-mayo, MS, RD, CDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 306 Hempstead Ave, Suite 311, Malverne, NY 11565 Phone: 516-377-7919 Fax: 516-377-7919 | |
Adrianna Calabro, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 20 Winfield Pl, Malverne, NY 11565 Phone: 516-884-9528 | |
Alanna Bridget Downey, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1 Lexington Ave, Malverne, NY 11565 Phone: 516-297-1794 |