| Samantha Rose Pankiw, RD | |
|
12 Daniel Dr, Cedar Grove, NJ 07009-1527 | |
| (551) 689-8359 | |
| Not Available |
| Full Name | Samantha Rose Pankiw |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 12 Daniel Dr, Cedar Grove, New Jersey |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821725565 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 86052714 (New Jersey) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Samantha Rose Pankiw, RD 12 Daniel Dr, Cedar Grove, NJ 07009-1527 Ph: (551) 689-8359 | Samantha Rose Pankiw, RD 12 Daniel Dr, Cedar Grove, NJ 07009-1527 Ph: (551) 689-8359 |
Elise Chassen Sopov, Dietitian Medicare: Accepting Medicare Assignments Practice Location: 1376 Pompton Ave, Cedar Grove, NJ 07009 Phone: 973-200-0896 Fax: 844-436-5129 | |
Nourish Your Body, Llc Dietitian Medicare: Medicare Enrolled Practice Location: 1376 Pompton Ave, Cedar Grove, NJ 07009 Phone: 973-200-0896 Fax: 844-436-5129 | |
Katelyn Wilson, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 143a E Bradford Ave, Cedar Grove, NJ 07009 Phone: 973-698-3901 |