| Lauren Castellucci, RD | |
|
415 Hooper Rd, Endwell, NY 13760-3698 | |
| (607) 754-3863 | |
| Not Available |
| Full Name | Lauren Castellucci |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 415 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 |
|---|---|---|---|
| 1235897984 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 009558-01 (New York) | Primary |
| Provider Name | Endwell Family Physicians Llp |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1871512947 PECOS PAC ID: 9537063987 Enrollment ID: O20031126000305 |
| Mailing Address | Practice Location Address |
|---|---|
| Lauren Castellucci, RD 415 Hooper Rd, Endwell, NY 13760-3698 Ph: (607) 754-3863 | Lauren Castellucci, RD 415 Hooper Rd, Endwell, NY 13760-3698 Ph: (607) 754-3863 |
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 | |
Mrs. Thalia Vithoulkas, MS,RD,CDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3715 Kirk Rd, Endwell, NY 13760 Phone: 917-414-8898 | |
Kelvin Lee, RD, CDN Dietitian Medicare: Accepting Medicare Assignments Practice Location: 800 Hooper Rd, Endwell, NY 13760 Phone: 607-757-0444 Fax: 607-748-8984 | |
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 |