| Vineyard Nutrition Llc | |
|
256 Edgartown Vineyard Haven Rd, Edgartown, MA 02539-6933 | |
| (508) 627-3235 | |
| Not Available |
| Full Name | Vineyard Nutrition Llc |
|---|---|
| Type | Facility |
| Speciality | Dietitian, Registered |
| Location | 256 Edgartown Vineyard Haven Rd, Edgartown, Massachusetts |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376943126 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 3260 (Massachusetts) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Vineyard Nutrition Llc 95 W Tisbury Rd, Edgartown, MA 02539-7183 Ph: () - | Vineyard Nutrition Llc 256 Edgartown Vineyard Haven Rd, Edgartown, MA 02539-6933 Ph: (508) 627-3235 |
Prudence Levy, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 140 Cooke Street, Edgartown, MA 02539 Phone: 508-627-3235 Fax: 508-627-7270 | |
Julianne Maxwell, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 68 Marthas Rd, Edgartown, MA 02539 Phone: 720-498-7932 | |
Ms. Korrine Madison Altieri, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 19 Edgewood Dr., Edgartown, MA 02539 Phone: 914-621-2786 | |
Joshua M Levy, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 256 Edgartown Vineyard Haven Rd, Edgartown, MA 02539 Phone: 508-627-3235 Fax: 508-627-7270 |