Doctor Name: | MS. ELIZABETH A DITTMAR |
NPI Number: | 1093844094 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RD CDN |
License Number: | 003379-1 |
Business Practice Address: | 800 S Wilbur Ave Syracuse, NY - 132042732 |
Business Phone Number: | 3152536283 |
Business Fax Number: | 3152820024 |
Mailing Address: | Po Box 505, JORDAN |
State: | NY |
Postal Code: | 130800505 |
Phone Number: | 3156893774 |
Fax Number: | |
NPI Enumeration Date: | 03/05/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 003379-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Dietary & Nutritional Service Providers |
Taxonomy Classification: | Dietitian, Registered |
Taxonomy Specialization: | |
Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |