| Kelvin Lee, RD, CDN | |
|
800 Hooper Rd, Endwell, NY 13760-1560 | |
| (607) 757-0444 | |
| (607) 748-8984 |
| Full Name | Kelvin Lee |
|---|---|
| Gender | Male |
| Speciality | Dietitian, Registered - Nutrition, Metabolic |
| Location | 800 Hooper Rd, Endwell, 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 |
|---|---|---|---|
| 1568843803 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133VN1006X | Dietitian, Registered - Nutrition, Metabolic | 007771 (New York) | Primary |
| Provider Name | United Health Services Hospitals, Inc. |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1962463851 PECOS PAC ID: 5193610533 Enrollment ID: O20040216001017 |
| Mailing Address | Practice Location Address |
|---|---|
| Kelvin Lee, RD, CDN 33 Lewis Rd, 2nd Floor, Binghamton, NY 13905-1048 Ph: () - | Kelvin Lee, RD, CDN 800 Hooper Rd, Endwell, NY 13760-1560 Ph: (607) 757-0444 |
Mr. Garrett Jon Modlo, M.S.,R.D.,C.D.N Dietitian Medicare: Not Enrolled in Medicare Practice Location: 622 Lacey Dr, Endwell, NY 13760 Phone: 607-321-1135 | |
Lauren Castellucci, RD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 415 Hooper Rd, Endwell, NY 13760 Phone: 607-754-3863 | |
Mrs. Thalia Vithoulkas, MS,RD,CDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3715 Kirk Rd, Endwell, NY 13760 Phone: 917-414-8898 | |
Wendy K Wolff, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 415 Hooper Rd, Endwell, NY 13760 Phone: 607-754-3863 Fax: 607-754-5697 | |
Mrs. Helen Battisti, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 415 Hooper Rd, Endwell Family Physicians Llp, Endwell, NY 13760 Phone: 607-754-3863 Fax: 607-754-5697 |