| Ms Elise Genee Harrison, RDN | |
|
1 Cross Island Plz Ste 229c, Rosedale, NY 11422-1400 | |
| (855) 958-9958 | |
| Not Available |
| Full Name | Ms Elise Genee Harrison |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 1 Cross Island Plz Ste 229c, Rosedale, 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 |
|---|---|---|---|
| 1275146615 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | (* (Not Available)) | Primary |
| Provider Name | Nourish, Inc. |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1558097824 PECOS PAC ID: 1557724937 Enrollment ID: O20230901000471 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Elise Genee Harrison, RDN 13830 102nd Ave, Jamaica, NY 11435-4804 Ph: (717) 657-3013 | Ms Elise Genee Harrison, RDN 1 Cross Island Plz Ste 229c, Rosedale, NY 11422-1400 Ph: (855) 958-9958 |
Phyllis Russell, MS RD CDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 13519 242nd St, Rosedale, NY 11422 Phone: 917-601-4575 | |
Karen E Nimmons, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 14940 258th St, Rosedale, NY 11422 Phone: 718-949-8931 | |
Mrs. Elizabeth Marie Madison, MA, RDN, CDN Dietitian Medicare: Medicare Enrolled Practice Location: 133-33 Brookville Boulevard, Suite 229c, Rosedale, NY 11422 Phone: 855-958-9958 Fax: 855-947-3783 |