Doctor Name: | CORRESA E WHYTE |
NPI Number: | 1487600854 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RD |
License Number: | 004534-1 |
Business Practice Address: | 430 W Merrick Rd Ste 16 Valley Stream, NY - 115805201 |
Business Phone Number: | 5168160126 |
Business Fax Number: | |
Mailing Address: | 430 W Merrick Rd, Ste 16 VALLEY STREAM |
State: | NY |
Postal Code: | 115805201 |
Phone Number: | 7182760365 |
Fax Number: | 7182764751 |
NPI Enumeration Date: | 05/26/2006 |
NPI Last Update Date: | 01/23/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 004534-1 |
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 |