Nicole Sun Cirilli, MS, RD, CDN | |
251-1 Mile Creek Rd, Old Lyme, CT 06371-1889 | |
(860) 629-0022 | |
Not Available |
Full Name | Nicole Sun Cirilli |
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Gender | Female |
Speciality | Dietitian, Registered |
Location | 251-1 Mile Creek Rd, Old Lyme, Connecticut |
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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1154948990 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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133V00000X | Dietitian, Registered | 86089376 (New York) | Primary |
Provider Name | Mhs Primary Care, Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1740666312 PECOS PAC ID: 4082507371 Enrollment ID: O20040202000945 |
Provider Name | Nicole Cirilli Nutrition Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1831812312 PECOS PAC ID: 4486026267 Enrollment ID: O20230203000510 |
Mailing Address | Practice Location Address |
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Nicole Sun Cirilli, MS, RD, CDN 28 Crescent St, Middletown, CT 06457-3654 Ph: () - | Nicole Sun Cirilli, MS, RD, CDN 251-1 Mile Creek Rd, Old Lyme, CT 06371-1889 Ph: (860) 629-0022 |
Patricia G Lynch, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 19 Halls Rd Ste 204, Old Lyme, CT 06371 Phone: 186-043-4552 | |
Nicole Cirilli Nutrition Llc Dietitian Medicare: Medicare Enrolled Practice Location: 251-1 Mile Creek Rd, Old Lyme, CT 06371 Phone: 860-629-0022 | |
Melissa Kelly, MS, RD, CDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 8 Strawberry Ln, Old Lyme, CT 06371 Phone: 860-575-2890 |