Doctor Name: | JOHN KRALLES |
NPI Number: | 1104991454 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | RD, CDN |
License Number: | 005472 |
Business Practice Address: | 222 Alexander St Ste 5100 Rochester, NY - 146074039 |
Business Phone Number: | 5859228400 |
Business Fax Number: | |
Mailing Address: | 222 Alexander St, Ste 5100 ROCHESTER |
State: | NY |
Postal Code: | 146074039 |
Phone Number: | 5859228400 |
Fax Number: | |
NPI Enumeration Date: | 11/22/2006 |
NPI Last Update Date: | 02/03/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 005472 |
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 |