Pathway Nutrition Llc | |
647 Sierra Vista Ln, Valley Cottage, NY 10989-2717 | |
(845) 304-3261 | |
Not Available |
Full Name | Pathway Nutrition Llc |
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Type | Facility |
Speciality | Dietitian, Registered |
Location | 647 Sierra Vista Ln, Valley Cottage, 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 |
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1821737800 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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133V00000X | Dietitian, Registered | (* (Not Available)) | Primary |
Provider Name | Patricia Jacqueline Pauyo |
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Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1124667639 PECOS PAC ID: 0446629414 Enrollment ID: I20221214000324 |
Mailing Address | Practice Location Address |
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Pathway Nutrition Llc 647 Sierra Vista Ln, Valley Cottage, NY 10989-2717 Ph: () - | Pathway Nutrition Llc 647 Sierra Vista Ln, Valley Cottage, NY 10989-2717 Ph: (845) 304-3261 |
Kelsey Leone, RD, CDCES Dietitian Medicare: Not Enrolled in Medicare Practice Location: 584 Babbling Brook Ln, Valley Cottage, NY 10989 Phone: 845-548-2147 | |
Maria Chrisanthe Timotheou, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 717 Manette Ln, Valley Cottage, NY 10989 Phone: 845-270-0311 |