MEDICARE: LYNN P HILLERY/LIVE WELL WITH LYNN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	133V00000X	Registered Dietitian	006087-1	NY

General Provider Information

NPI Number	:	1124348610
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LYNN P HILLERY/LIVE WELL WITH LYNN

Provider Business Mailing Address
First Line	:	25 ANDREA LN
Second Line	:
City	:	WEST SAYVILLE
State	:	NY
Zip	:	11796-1515
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	76 SOUTHAVEN AVE
Second Line	:	STE 2
City	:	MEDFORD
State	:	NY
Zip	:	11763-3745
Country	:	US
Telephone Number	:	631-343-2024
Fax Number	:	631-343-2024

Authorized Official
Title or Position	:	OWNER
Name	:	LYNN P HILLERY
Credential	:	RD
Telephone Number	:	631-921-1100

Provider Enumeration Date	:	06/07/2010
Last Update Date	:	06/07/2010

Similar Medicare Providers

1861486284 — DR. ALAN RICHARD STERN DPM
Practice Location Address:

76 SOUTHAVEN AVE
MEDFORD, NY
11763-3745

Practice Phone: 631-289-1107
Practice Fax: 631-289-1107

1114936317 — DR. KAMI QUINN BARRY D.O.
Practice Location Address:

76 SOUTHAVEN AVE , SUITE 4
MEDFORD, NY
11763-3745

Practice Phone: 631-569-4055
Practice Fax: 631-569-4056

1295827103 — LYNN P HILLERY MS RD CDN
Practice Location Address:

76 SOUTHAVEN AVE STE 2
MEDFORD, NY
11763-3745

Practice Phone: 631-343-2024
Practice Fax: 631-343-2024

1265610166 — KAMI QUINN MEDICAL DOCTOR PLLC
Practice Location Address:

76 SOUTHAVEN AVE , SUITE 4
MEDFORD, NY
11763-3745

Practice Phone: 631-569-4055
Practice Fax: 631-569-4056

1083868004 — MRS. MAUREEN F NOFI NP
Practice Location Address:

76 SOUTHAVEN AVE , SUITE 5
MEDFORD, NY
11763-3745

Practice Phone: 631-447-8860
Practice Fax: 631-447-8862

1962717512 — MRS. CHRISTINE A ARKALI ANP
Practice Location Address:

76 SOUTHAVEN AVE , SUITE 5
MEDFORD, NY
11763-3745

Practice Phone: 631-447-8860
Practice Fax: 631-447-8862

Directions to “LYNN P HILLERY/LIVE WELL WITH LYNN ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.