NPI: 1316515208 · WATERTOWN, NY 13601 · Registered Dietitian · NPI assigned 06/16/2021
| Authorized Official | FARMER, ETOSHA (OWNER) |
| NPI Enumeration Date | 06/16/2021 |
Other providers sharing the same authorized official: FARMER, ETOSHA
| Provider | City | State | Total Paid |
|---|---|---|---|
| DIETITIANS OF NORTHERN NEW YORK | WATERTOWN | NY | $18K |
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 109 | $7K |
| 2023 | 14 | $985.50 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 97803 | 123 | 110 | $8K |