| Marie Mitchell, RDN | |
|
58 Ketewomoke Dr, Halesite, NY 11743-2137 | |
| (516) 233-4197 | |
| Not Available |
| Full Name | Marie Mitchell |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 58 Ketewomoke Dr, Halesite, New York |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114897782 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 86023618 (New York) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Marie Mitchell, RDN 58 Ketewomoke Dr, Halesite, NY 11743-2137 Ph: (516) 233-4197 | Marie Mitchell, RDN 58 Ketewomoke Dr, Halesite, NY 11743-2137 Ph: (516) 233-4197 |
Wellform Nutrition & Regulatory Consulting Inc. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 37 Old Town Ln, Halesite, NY 11743 Phone: 631-356-8666 |
Katherine Margaret Fautas, RD, CDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 37 Old Town Ln, Halesite, NY 11743 Phone: 631-356-8666 |