Tracy Dan Jiang, | |
2a Richmond Ave, Batavia, NY 14020-1408 | |
(585) 344-0628 | |
Not Available |
Full Name | Tracy Dan Jiang |
---|---|
Gender | Female |
Speciality | Dietitian, Registered |
Location | 2a Richmond Ave, Batavia, 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 |
---|---|---|---|
1154892073 | NPI | - | NPPES |
133V00000X | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | 007882 (New York) | Primary |
Provider Name | State Of New York Comptrollers Office |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1750469912 PECOS PAC ID: 0840101770 Enrollment ID: O20190313000800 |
Mailing Address | Practice Location Address |
---|---|
Tracy Dan Jiang, 72 Mapleleaf Dr, Buffalo, NY 14221-2714 Ph: (713) 447-7856 | Tracy Dan Jiang, 2a Richmond Ave, Batavia, NY 14020-1408 Ph: (585) 344-0628 |
Connor Abbott, RD, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2 Richmond Ave, Batavia, NY 14020 Phone: 585-201-5686 | |
Susan Farnsworth, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 222 Richmond Ave, Batavia, NY 14020 Phone: 585-297-1030 | |
Miss Grace Krizen, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 16 Bank St, Batavia, NY 14020 Phone: 585-344-4800 | |
Ms. Jennifer Dorothy Reardon, MS, RDN, CDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 47a Batavia City Ctr, Batavia, NY 14020 Phone: 716-830-4160 | |
Audrey Mae Perkins, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 222 Richmond Ave, Batavia, NY 14020 Phone: 585-297-1000 | |
Department Of Veterans Affairs Batavia Dietitian Medicare: Not Enrolled in Medicare Practice Location: 222 Richmond Ave, Batavia, NY 14020 Phone: 585-297-1031 |