NPI: 1457864456 · WATERTOWN, NY 13601 · Registered Dietitian · NPI assigned 11/13/2017
| Authorized Official | FARMER, ETOSHA (OWNER) |
| NPI Enumeration Date | 11/13/2017 |
Other providers sharing the same authorized official: FARMER, ETOSHA
| Provider | City | State | Total Paid |
|---|---|---|---|
| DIETITIANS OF NORTHERN NEW YORK, PLLC. | WATERTOWN | NY | $8K |
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 62 | $4K |
| 2021 | 244 | $14K |