| Amy Krystock Llc | |
|
500 Boston Post Rd, Orange, CT 06477-3530 | |
| (203) 671-3392 | |
| (888) 855-7803 |
| Full Name | Amy Krystock Llc |
|---|---|
| Type | Facility |
| Speciality | Dietitian, Registered |
| Location | 500 Boston Post Rd, Orange, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821586223 | NPI | - | NPPES |
| D300057442 | Other | CT | MEDICARE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | (* (Not Available)) | Primary |
| Provider Name | Amy L Plano |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1194964908 PECOS PAC ID: 9537216536 Enrollment ID: I20090416000036 |
| Provider Name | Rebecca A Bonetti |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1750717302 PECOS PAC ID: 1759510126 Enrollment ID: I20140205000430 |
| Provider Name | Audrey Castell Watts |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1861995599 PECOS PAC ID: 3971921594 Enrollment ID: I20200915000661 |
| Provider Name | Stephanie Labrusciano |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1659520450 PECOS PAC ID: 7719128537 Enrollment ID: I20210713003637 |
| Provider Name | Eekra Ahsan |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1780451229 PECOS PAC ID: 3375994403 Enrollment ID: I20240112001722 |
| Mailing Address | Practice Location Address |
|---|---|
| Amy Krystock Llc 100 Parrott Dr Unit 1607, Shelton, CT 06484-7701 Ph: (203) 671-3392 | Amy Krystock Llc 500 Boston Post Rd, Orange, CT 06477-3530 Ph: (203) 671-3392 |
Ms. Amy L. Plano, R.D. Dietitian Medicare: Medicare Enrolled Practice Location: 500 Boston Post Rd, Orange, CT 06477 Phone: 203-671-3392 Fax: 888-855-7803 | |
Madelyn Ciskowski, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 399 Richard Ln, Orange, CT 06477 Phone: 203-988-0260 | |
Mrs. Dana Schwab, RD, CDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 500 Boston Post Rd, Orange, CT 06477 Phone: 203-671-3392 Fax: 888-855-7803 | |
Katherine Antoinette Samela, MS, RD, CSP Dietitian Medicare: Not Enrolled in Medicare Practice Location: 500 Boston Post Rd, Orange, CT 06477 Phone: 203-671-3392 Fax: 888-855-7803 | |
Emily Gerdner, R.D., L.D.N, C.D.E Dietitian Medicare: Not Enrolled in Medicare Practice Location: 500 Boston Post Rd, Orange, CT 06477 Phone: 609-558-2405 Fax: 888-855-7803 | |
Doria Weinstein, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 509 Carriage Dr, Orange, CT 06477 Phone: 305-790-7676 | |
Stephanie Labrusciano, RD, CDE, CDN Dietitian Medicare: May Accept Medicare Assignments Practice Location: 500 Boston Post Rd, Orange, CT 06477 Phone: 203-273-4815 |