Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
NUTRITION CLINIC
Active
Organization
NUTRITION CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLIE A JENKINS (PROGRAM MANAGER)
(607) 732-5646
Entity
Organization
Contact information
Practice address
1003 WALNUT STREET, ELMIRA, NY 14901
(607) 732-5646
(607) 732-0373
Mailing address
1003 WALNUT STREET, ELMIRA, NY 14901
(607) 732-5646
(607) 732-0373
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
12/12/2006
Last updated
08/22/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up