| New York State Hvddso | |
|
11 Wilbur Rd, Thiells, NY 10984-7555 | |
| (845) 947-6220 | |
| (845) 947-6220 |
| Full Name | New York State Hvddso |
|---|---|
| Type | Facility |
| Speciality | Dietitian, Registered |
| Location | 11 Wilbur Rd, Thiells, New York |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467691444 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 002680 (New York) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| New York State Hvddso 11 Wilbur Road, Thiells, NY 10984-0470 Ph: (845) 947-6220 | New York State Hvddso 11 Wilbur Rd, Thiells, NY 10984-7555 Ph: (845) 947-6220 |
Emily Ross, MS, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 11 Wilbur Rd, Thiells, NY 10984 Phone: 845-245-7149 | |
Carmela A Hidalgo, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 11 Wilbur Rd, Thiells, NY 10984 Phone: 845-947-6220 | |
Larisa Volokh, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 11 Wilbur Rd, Thiells, NY 10984 Phone: 585-721-2604 | |
Paul J Borer, RD,MBA,MPH Dietitian Medicare: Not Enrolled in Medicare Practice Location: 11 Wilbur Road, Hudson Valley Ddso, Thiells, NY 10984 Phone: 845-947-6220 Fax: 845-947-6240 |