Doctor Name: | MS. DIANE EHLE PIETROCARLO |
NPI Number: | 1285692491 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | R.D., C.D.N. |
License Number: | 535353 |
Business Practice Address: | 9 Gleason Rd Professional Building Glenville, NY - 123025307 |
Business Phone Number: | 5183840562 |
Business Fax Number: | 5183840562 |
Mailing Address: | 400 Rector Rd, GLENVILLE |
State: | NY |
Postal Code: | 123026702 |
Phone Number: | 5183746424 |
Fax Number: | |
NPI Enumeration Date: | 05/04/2006 |
NPI Last Update Date: | 10/07/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 535353 |
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 |