| Nutrition Clinic | |
|
1003 Walnut Street Elmira NY 14901 | |
| (607) 732-5646 | |
| (607) 732-0373 |
| Full Name | Nutrition Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 1003 Walnut Street, Elmira, New York |
| Authorized Official Name and Position | Charlie A Jenkins (PROGRAM MANAGER) |
| Authorized Official Contact | 6077325646 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nutrition Clinic 1003 Walnut Street Elmira NY 14901 Ph: (607) 732-5646 | Nutrition Clinic 1003 Walnut Street Elmira NY 14901 Ph: (607) 732-5646 |
| NPI Number | 1578624078 |
|---|---|
| Provider Enumeration Date | 12/12/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578624078 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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