Ms Katherine Mary Shannon-espinoza, MSRD | |
31 Broadway, Greenlawn, NY 11740-1320 | |
(631) 897-7713 | |
Not Available |
Full Name | Ms Katherine Mary Shannon-espinoza |
---|---|
Gender | Female |
Speciality | Dietitian, Registered |
Location | 31 Broadway, Greenlawn, 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 |
---|---|---|---|
1174003529 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | 708288 (New York) | Primary |
Provider Name | Li Nutritionist Pllc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1629651989 PECOS PAC ID: 6608211255 Enrollment ID: O20240305002507 |
Mailing Address | Practice Location Address |
---|---|
Ms Katherine Mary Shannon-espinoza, MSRD 19 Milland Dr, Northport, NY 11768-2834 Ph: (631) 897-7713 | Ms Katherine Mary Shannon-espinoza, MSRD 31 Broadway, Greenlawn, NY 11740-1320 Ph: (631) 897-7713 |
Jenifer J Zakrzewski, RD Dietitian Medicare: Medicare Enrolled Practice Location: 15 Stratford Ave, Greenlawn, NY 11740 Phone: 702-755-4009 | |
Rachel Saks Nutrition Llc Dietitian Medicare: Not Enrolled in Medicare Practice Location: 5 Cuba Hill Rd, Greenlawn, NY 11740 Phone: 631-223-8601 | |
Mable Wong, RD, CDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2 Danville Dr, Greenlawn, NY 11740 Phone: 917-678-2550 |