Doctor Name: | MRS. ANNE PATRICIA GAETANI |
NPI Number: | 1326134479 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | R.D., C.D.E. |
License Number: | 800835 |
Business Practice Address: | 123 Saratoga Rd Scotia, NY - 123024181 |
Business Phone Number: | 5183991101 |
Business Fax Number: | 5183991101 |
Mailing Address: | 49 Cedar Ln, GLENVILLE |
State: | NY |
Postal Code: | 123025523 |
Phone Number: | 5183991101 |
Fax Number: | 5183991101 |
NPI Enumeration Date: | 10/05/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133VN1006X |
License Number: | 800835 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Dietary & Nutritional Service Providers |
Taxonomy Classification: | Dietitian, Registered |
Taxonomy Specialization: | Nutrition, Metabolic |
Taxonomy Definition: |