| Pathway Nutrition Llc | |
|
647 Sierra Vista Ln, Valley Cottage, NY 10989-2717 | |
| (845) 304-3261 | |
| Not Available |
| Full Name | Pathway Nutrition Llc |
|---|---|
| Type | Facility |
| Speciality | Dietitian, Registered |
| Location | 647 Sierra Vista Ln, Valley Cottage, New York |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821737800 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | (* (Not Available)) | Primary |
| Provider Name | Patricia Jacqueline Pauyo |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1124667639 PECOS PAC ID: 0446629414 Enrollment ID: I20221214000324 |
| Mailing Address | Practice Location Address |
|---|---|
| Pathway Nutrition Llc 647 Sierra Vista Ln, Valley Cottage, NY 10989-2717 Ph: () - | Pathway Nutrition Llc 647 Sierra Vista Ln, Valley Cottage, NY 10989-2717 Ph: (845) 304-3261 |
Kelsey Leone, RD, CDCES Dietitian Medicare: Not Enrolled in Medicare Practice Location: 584 Babbling Brook Ln, Valley Cottage, NY 10989 Phone: 845-548-2147 | |
Maria Chrisanthe Timotheou, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 717 Manette Ln, Valley Cottage, NY 10989 Phone: 845-270-0311 |