| Lifestyle Nutrition Wny, Pllc | |
|
7350 Porter Rd, Niagara Falls, NY 14304-5705 | |
| (716) 222-0297 | |
| (716) 794-9466 |
| Full Name | Lifestyle Nutrition Wny, Pllc |
|---|---|
| Type | Facility |
| Speciality | Dietitian, Registered |
| Location | 7350 Porter Rd, Niagara Falls, 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 |
|---|---|---|---|
| 1346794310 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 007370 (New York) | Primary |
| Provider Name | Melissa A. Verdi |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1568639813 PECOS PAC ID: 1153646716 Enrollment ID: I20150203000986 |
| Provider Name | Lindsay M. Gillon |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1538414396 PECOS PAC ID: 4587989553 Enrollment ID: I20150216000230 |
| Mailing Address | Practice Location Address |
|---|---|
| Lifestyle Nutrition Wny, Pllc 85 White Tail Run, Grand Island, NY 14072-3234 Ph: (716) 222-0297 | Lifestyle Nutrition Wny, Pllc 7350 Porter Rd, Niagara Falls, NY 14304-5705 Ph: (716) 222-0297 |
Mrs. Karen Lynne Gentile, RD,CDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 621 10th St, Niagara Falls, NY 14301 Phone: 716-278-4385 | |
Christopher Bagneschi, MS, RD, CDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 621 10th St, Niagara Falls, NY 14301 Phone: 716-278-4384 | |
Tamara Lynn Rowh, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 638 27th St, Niagara Falls, NY 14301 Phone: 928-897-5528 | |
Mrs. Laura Ann Olejniczak, RD,CDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 621 10th St, Nutrition Services, Niagara Falls, NY 14301 Phone: 716-278-4363 Fax: 716-278-4266 | |
Katlyn Stoklosa, RDN, CDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1407 98th St, Niagara Falls, NY 14304 Phone: 716-989-9501 | |
Lindsay Marie Gillon, RDN, CDN, CDCES Dietitian Medicare: Medicare Enrolled Practice Location: 10175 Niagara Falls Blvd, Niagara Falls, NY 14304 Phone: 716-222-0297 Fax: 716-794-9466 |