| Nutriall Wellness Center | |
|
3347 213th St, Bayside, NY 11361-1560 | |
| (929) 777-4933 | |
| (888) 370-1981 |
| Full Name | Nutriall Wellness Center |
|---|---|
| Type | Facility |
| Speciality | Dietitian, Registered |
| Location | 3347 213th St, Bayside, New York |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053033365 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | (* (Not Available)) | Primary |
| 133VN1004X | Dietitian, Registered - Nutrition, Pediatric | (* (Not Available)) | Secondary |
| Provider Name | Xiaofang Tan |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1861113441 PECOS PAC ID: 1658736038 Enrollment ID: I20230510001213 |
| Provider Name | Alexandra Rodiles |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1720867955 PECOS PAC ID: 6709237829 Enrollment ID: I20240112001442 |
| Mailing Address | Practice Location Address |
|---|---|
| Nutriall Wellness Center 3347 213th St, Bayside, NY 11361-1560 Ph: (929) 777-4933 | Nutriall Wellness Center 3347 213th St, Bayside, NY 11361-1560 Ph: (929) 777-4933 |
Nelcy D Mylonas, RDN, CDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 21406 23rd Ave Apt 2, Bayside, NY 11360 Phone: 917-757-4639 | |
Lori Chan, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 20220 36th Ave, Bayside, NY 11361 Phone: 917-513-0588 | |
I-well Inc. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3347 213th St, Bayside, NY 11361 Phone: 929-777-4933 | |
Tsz Shan Au, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3347 213th St, Bayside, NY 11361 Phone: 929-777-4933 Fax: 888-370-1981 | |
Dr. Lana Zinger, RD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 21616 17th Ave, Bayside, NY 11360 Phone: 917-371-1380 | |
Ms. Dilia Rivera, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2901 216th St, Bayside, NY 11360 Phone: 718-281-8800 |