| Natasha Eziquiel-shriro, RDN | |
|
8040 Cooper Ave, Glendale, NY 11385-7725 | |
| (718) 887-3090 | |
| (718) 326-2656 |
| Full Name | Natasha Eziquiel-shriro |
|---|---|
| Gender | Female |
| Speciality | Registered Dietitian Or Nutrition Professional |
| Experience | 11 Years |
| Location | 8040 Cooper Ave, Glendale, New York |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760927099 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133VN1006X | Dietitian, Registered - Nutrition, Metabolic | (* (Not Available)) | Secondary |
| 133V00000X | Dietitian, Registered | 008918 (New York) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Brookdale Hospital Medical Center | Brooklyn, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Interfaith Professional Physician Services Pc | 9931378171 | 389 |
| Brookdale Family Care Center, Inc | 7315833159 | 8 |
| Provider Name | The Brookdale Hospital Medical Center |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1720028772 PECOS PAC ID: 4284545799 Enrollment ID: O20031120000600 |
| Provider Name | Brookdale Family Care Center, Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1962459644 PECOS PAC ID: 7315833159 Enrollment ID: O20040226001107 |
| Provider Name | Interfaith Professional Physician Services Pc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1457643991 PECOS PAC ID: 9931378171 Enrollment ID: O20110804000598 |
| Mailing Address | Practice Location Address |
|---|---|
| Natasha Eziquiel-shriro, RDN 8040 Cooper Ave, Glendale, NY 11385-7725 Ph: (718) 887-3090 | Natasha Eziquiel-shriro, RDN 8040 Cooper Ave, Glendale, NY 11385-7725 Ph: (718) 887-3090 |
Donna Marie Mercatante, MS, RDN, CDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 7816 76th St, Glendale, NY 11385 Phone: 718-497-3815 | |
Miss Jacqueline Rodriguez, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 8825 81st Rd, Glendale, NY 11385 Phone: 646-670-1612 |