| Marielle Zuccolo, RDN | |
|
213 Tracy Creek Rd, Vestal, NY 13850-1062 | |
| (607) 786-9063 | |
| Not Available |
| Full Name | Marielle Zuccolo |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 213 Tracy Creek Rd, Vestal, 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 |
|---|---|---|---|
| 1154876605 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 006951-1 (New York) | Primary |
| Provider Name | State Of New York Comptrollers Office |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1750469912 PECOS PAC ID: 0840101770 Enrollment ID: O20190313000800 |
| Mailing Address | Practice Location Address |
|---|---|
| Marielle Zuccolo, RDN 249 Glenwood Rd, Binghamton, NY 13905-1603 Ph: () - | Marielle Zuccolo, RDN 213 Tracy Creek Rd, Vestal, NY 13850-1062 Ph: (607) 786-9063 |
Kristi Garzo, MS, RDN, CDN, CLC Dietitian Medicare: Medicare Enrolled Practice Location: 3101 Shippers Rd Ste 203, Vestal, NY 13850 Phone: 607-251-2105 Fax: 607-251-2010 | |
Ms. Monique Dekleermaeker, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 4513 Old Vestal Rd, Vestal, NY 13850 Phone: 607-729-7001 | |
Jaclyn Zindell, RD Dietitian Medicare: Medicare Enrolled Practice Location: 4417 Vestal Pkwy E, Vestal, NY 13850 Phone: 607-770-7365 | |
Nicole Mae Smith, RD, CDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 213 Tracy Creek Rd, Vestal, NY 13850 Phone: 607-217-6513 Fax: 607-786-9060 |