| Functional Nutrition Li Pllc | |
|
41 John St, Babylon, NY 11702-2932 | |
| (631) 204-3375 | |
| Not Available |
| Full Name | Functional Nutrition Li Pllc |
|---|---|
| Type | Facility |
| Speciality | Dietitian, Registered |
| Location | 41 John St, Babylon, New York |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548874563 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | (* (Not Available)) | Primary |
| Provider Name | Christina Lombardi |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1841710043 PECOS PAC ID: 8729459565 Enrollment ID: I20230113001942 |
| Provider Name | Amanda Jacqueline Reichardt |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1093415135 PECOS PAC ID: 9335684414 Enrollment ID: I20240712002529 |
| Mailing Address | Practice Location Address |
|---|---|
| Functional Nutrition Li Pllc 41 John St, Babylon, NY 11702-2932 Ph: (631) 204-3375 | Functional Nutrition Li Pllc 41 John St, Babylon, NY 11702-2932 Ph: (631) 204-3375 |
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 | |
Amanda Jacqueline Reichardt, MS RDN CDN CPT Dietitian Medicare: Medicare Enrolled Practice Location: 41 John St, Babylon, NY 11702 Phone: 631-205-3375 | |
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 |