Doctor Name: | MS. DIANE MARIE FORD |
NPI Number: | 1194731968 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | R.D., C.D.E. |
License Number: | |
Business Practice Address: | 800 Irving Ave Syracuse, NY - 132102716 |
Business Phone Number: | 3153347100 |
Business Fax Number: | 3153347171 |
Mailing Address: | 2711 Hayes Rd E, BOONVILLE |
State: | NY |
Postal Code: | 133095279 |
Phone Number: | 3159423316 |
Fax Number: | |
NPI Enumeration Date: | 07/31/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
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 |