| The Nourished Life Llc : Nutrition Therapy & Diabetes Care | |
|
200 E Church St, Elmira, NY 14901-2752 | |
| (607) 483-5939 | |
| Not Available |
| Full Name | The Nourished Life Llc : Nutrition Therapy & Diabetes Care |
|---|---|
| Type | Facility |
| Speciality | Dietitian, Registered |
| Location | 200 E Church St, Elmira, 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 |
|---|---|---|---|
| 1184358897 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | (* (Not Available)) | Primary |
| Provider Name | Alia Snyder |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1790421816 PECOS PAC ID: 3870974645 Enrollment ID: I20220914000337 |
| Mailing Address | Practice Location Address |
|---|---|
| The Nourished Life Llc : Nutrition Therapy & Diabetes Care 1863 Doty Hill Rd, Gillett, PA 16925-9210 Ph: () - | The Nourished Life Llc : Nutrition Therapy & Diabetes Care 200 E Church St, Elmira, NY 14901-2752 Ph: (607) 483-5939 |
Mary Griffin, RD, CDN Dietitian Medicare: Medicare Enrolled Practice Location: 100 Washington St Bldg 1, Elmira, NY 14901 Phone: 607-737-4940 Fax: 607-737-4956 | |
Nan Mansfield, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 600 Fitch St, Elmira, NY 14905 Phone: 607-737-8151 Fax: 607-737-8104 | |
Lisa Wert, RDN, CDN Dietitian Medicare: Medicare Enrolled Practice Location: 100 Washington St Bldg 1, Elmira, NY 14901 Phone: 607-737-4934 Fax: 607-737-4956 | |
Carolyn Chaffee, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1003 Walnut St, Elmira, NY 14901 Phone: 607-732-5646 Fax: 607-732-0373 | |
Ms. Bedelia Colleen Nowak, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 256 Snell Rd, Elmira, NY 14901 Phone: 607-529-3388 | |
Mr. Anthony Dominick Patricelli Jr., RD,CDN Dietitian Medicare: Medicare Enrolled Practice Location: 100 Washington St, Elmira, NY 14901 Phone: 607-737-4929 Fax: 607-737-4956 |