Terryl Owens, MPH, RD | |
5 Cross Ln, Glen Head, NY 11545-1109 | |
(646) 462-5714 | |
Not Available |
Full Name | Terryl Owens |
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Gender | Female |
Speciality | Dietitian, Registered |
Location | 5 Cross Ln, Glen Head, 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 |
---|---|---|---|
1720259823 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | 85002123 (New York) | Primary |
Provider Name | New York University |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1285826438 PECOS PAC ID: 1355232422 Enrollment ID: O20081202000185 |
Provider Name | New York University |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1285826438 PECOS PAC ID: 1355232422 Enrollment ID: O20090822000026 |
Mailing Address | Practice Location Address |
---|---|
Terryl Owens, MPH, RD 5 Cross Ln, Glen Head, NY 11545-1109 Ph: (646) 462-5714 | Terryl Owens, MPH, RD 5 Cross Ln, Glen Head, NY 11545-1109 Ph: (646) 462-5714 |
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