| Amanda Jacqueline Reichardt, MS RDN CDN CPT | |
|
41 John St, Babylon, NY 11702-2932 | |
| (631) 205-3375 | |
| Not Available |
| Full Name | Amanda Jacqueline Reichardt |
|---|---|
| Gender | Female |
| Speciality | Registered Dietitian Or Nutrition Professional |
| Experience | 5 Years |
| Location | 41 John St, Babylon, New York |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093415135 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 86050604 (New York) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Functional Nutrition Li Pllc | 3072032010 | 2 |
| Provider Name | Functional Nutrition Rx Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1548874563 PECOS PAC ID: 5193196939 Enrollment ID: O20230113001885 |
| Mailing Address | Practice Location Address |
|---|---|
| Amanda Jacqueline Reichardt, MS RDN CDN CPT 41 John St, Babylon, NY 11702-2932 Ph: (631) 204-3375 | Amanda Jacqueline Reichardt, MS RDN CDN CPT 41 John St, Babylon, NY 11702-2932 Ph: (631) 205-3375 |
Ms. Lisa Ann Moore, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 400 Park Ave, Babylon, NY 11702 Phone: 646-468-9821 | |
Kimberlee Silbaugh, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 157 Deer Park Ave, Babylon, NY 11702 Phone: 631-213-7190 | |
Miss Caitlin Justine Alfano, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 41 John St, Babylon, NY 11702 Phone: 631-321-1900 | |
Erin Lettieri, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 41 John St, Babylon, NY 11702 Phone: 631-204-3375 | |
Christina Diana, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 421 Deer Park Ave, Babylon, NY 11702 Phone: 631-941-1028 Fax: 631-941-1010 | |
Marykate Accame, CDN, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 414 Deer Park Ave, Babylon, NY 11702 Phone: 631-219-7675 |