Quiara Gordon, RDN | |
76 Hilltop Ave, West Babylon, NY 11704-2507 | |
(631) 316-4973 | |
Not Available |
Full Name | Quiara Gordon |
---|---|
Gender | Female |
Speciality | Dietitian, Registered |
Location | 76 Hilltop Ave, West Babylon, 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 |
---|---|---|---|
1568019719 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | 86082837 (New York) | Primary |
Provider Name | Infinite Health Collaborative Pa |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1164474250 PECOS PAC ID: 1052225042 Enrollment ID: O20040209000574 |
Mailing Address | Practice Location Address |
---|---|
Quiara Gordon, RDN 76 Hilltop Ave, West Babylon, NY 11704-2507 Ph: () - | Quiara Gordon, RDN 76 Hilltop Ave, West Babylon, NY 11704-2507 Ph: (631) 316-4973 |
Jessica Villalvir, MS, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 551 Windmill Ave, West Babylon, NY 11704 Phone: 347-885-7102 | |
Mrs. Kim Marie Leidner, MSRD, CDE Dietitian Medicare: Accepting Medicare Assignments Practice Location: 986 Sunrise Hwy, West Babylon, NY 11704 Phone: 631-587-6060 Fax: 631-587-1364 | |
Melissa Bezzina, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 551 Windmill Ave, West Babylon, NY 11704 Phone: 347-885-7102 |