| Sdc Nutrition, Pc | |
|
405 Rxr Plz, Uniondale, NY 11556-3811 | |
| (800) 741-6638 | |
| (866) 610-7443 |
| Full Name | Sdc Nutrition, Pc |
|---|---|
| Type | Facility |
| Speciality | Dietitian, Registered |
| Location | 405 Rxr Plz, Uniondale, 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 |
|---|---|---|---|
| 1265732580 | NPI | - | NPPES |
| 9739196296 | Other | NY | MEDICARE PACID |
| 100318993601 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 006034 (New York) | Primary |
| Provider Name | Stephen Della Croce |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1942511183 PECOS PAC ID: 9739196296 Enrollment ID: I20060308000878 |
| Provider Name | Pui Yan Chiu |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1942232509 PECOS PAC ID: 7012323603 Enrollment ID: I20210305000546 |
| Provider Name | Meredith Tracy Radisch |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1881262624 PECOS PAC ID: 4183027378 Enrollment ID: I20210726002551 |
| Provider Name | Nadia Hussain |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1114378718 PECOS PAC ID: 6204245327 Enrollment ID: I20221026001145 |
| Mailing Address | Practice Location Address |
|---|---|
| Sdc Nutrition, Pc 440 Lakeview Rd, Bellmore, NY 11710-4209 Ph: () - | Sdc Nutrition, Pc 405 Rxr Plz, Uniondale, NY 11556-3811 Ph: (800) 741-6638 |
Mrs. Harriet L. Nunez, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1100 Van Buren St, Uniondale, NY 11553 Phone: 516-565-4572 Fax: 516-565-4087 | |
Stephen Della Croce, MS, RD, CDN Dietitian Medicare: Accepting Medicare Assignments Practice Location: 405 Rxr Plz, Uniondale, NY 11556 Phone: 800-741-6638 Fax: 866-610-7443 |