Doctor Name: | MRS. KATHLEEN MARIE DIBELLA |
NPI Number: | 1366682544 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RD,CDN |
License Number: | 502405 |
Business Practice Address: | 1000 South Ave Box 95 Rochester, NY - 146202733 |
Business Phone Number: | 5853418408 |
Business Fax Number: | 5853416544 |
Mailing Address: | 1000 South Ave, Box 95 ROCHESTER |
State: | NY |
Postal Code: | 146202733 |
Phone Number: | 5853418408 |
Fax Number: | 5853416544 |
NPI Enumeration Date: | 02/27/2009 |
NPI Last Update Date: | 10/05/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 502405 |
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 |