Ms Pamela Groh, RD, CDE | |
1869 Brentwood Rd, Brentwood, NY 11717-4625 | |
(631) 853-3426 | |
Not Available |
Full Name | Ms Pamela Groh |
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Gender | Female |
Speciality | Dietitian, Registered - Nutrition, Metabolic |
Location | 1869 Brentwood Rd, 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 |
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1639223480 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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133VN1006X | Dietitian, Registered - Nutrition, Metabolic | 0052361 (New York) | Primary |
Provider Name | Long Island Community Hospital At Nyu Langone Health |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1417232760 PECOS PAC ID: 9739090051 Enrollment ID: O20031218000695 |
Mailing Address | Practice Location Address |
---|---|
Ms Pamela Groh, RD, CDE 3 N Howells Point Rd, Bellport, NY 11713-2907 Ph: (631) 240-9706 | Ms Pamela Groh, RD, CDE 1869 Brentwood Rd, Brentwood, NY 11717-4625 Ph: (631) 853-3426 |
Mrs. Lisa Dawn Reisner, R.D. Dietitian Medicare: Medicare Enrolled Practice Location: 1869 Brentwood Road, Brentwood, NY 11717 Phone: 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 |