| Optimized Nutrition, Llc | |
|
1519 Decatur St, Ridgewood, NY 11385-5739 | |
| (860) 888-5994 | |
| Not Available |
| Full Name | Optimized Nutrition, Llc |
|---|---|
| Type | Facility |
| Speciality | Dietitian, Registered |
| Location | 1519 Decatur St, Ridgewood, 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 |
|---|---|---|---|
| 1467189852 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | (* (Not Available)) | Primary |
| Provider Name | Keshia Sylvia Okorie |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1538648563 PECOS PAC ID: 5193076222 Enrollment ID: I20180928000034 |
| Mailing Address | Practice Location Address |
|---|---|
| Optimized Nutrition, Llc 7514 60th Ln # 1, Glendale, NY 11385-6121 Ph: (860) 888-5994 | Optimized Nutrition, Llc 1519 Decatur St, Ridgewood, NY 11385-5739 Ph: (860) 888-5994 |
Kaycie Haynes, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 5956 Madison St Apt 3f, Ridgewood, NY 11385 Phone: 607-425-3322 | |
Ashlyn Rain Wilmot-rego, MS, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 385 Seneca Ave, Ridgewood, NY 11385 Phone: 718-366-1111 | |
Cecilia Woodlyn Busick, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 6057 Catalpa Ave, Ridgewood, NY 11385 Phone: 860-462-3313 | |
Xinyi Gong, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 331 Saint Nicholas Ave # 1d, Ridgewood, NY 11385 Phone: 626-297-9864 | |
Mr. Kyle E Murray, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1805 Decatur St, Ridgewood, NY 11385 Phone: 908-358-3186 |