Organization
AMY KRYSTOCK LLC
Active
Other names
Amy Krystock, RD, Amy Plano, RD, The Plano Program
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELE RAMOS RHIT (EXECUTIVE ASSISTANT)
(203) 318-6037
Entity
Organization
Contact information
Practice address
500 BOSTON POST RD, ORANGE, CT 06477-3530
(203) 671-3392
(888) 855-7803
Mailing address
100 PARROTT DR UNIT 1607, SHELTON, CT 06484-7701
(203) 671-3392
(888) 855-7803
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D300057442
MEDICARE NUMBER
CT
Enumeration date
05/01/2018
Last updated
01/22/2025
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