Joy Lori Bauer, RD

Individual provider Active NPI Registered Dietitian · West Harrison, NY

NPI 1083577704 · NPPES record last updated Dec 9, 2025

Key facts

NPI
1083577704
Entity type
Individual (NPI type 1)
Primary specialty
Registered Dietitian 133V00000X
License
003067 (NY)
Practice address
85 Park LN
West Harrison, NY 10604-1103
Phone
(917) 596-1136
NPI assigned
Dec 9, 2025
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian
Group: 193400000X SINGLE SPECIALTY GROUP
133V00000X 003067 NY Yes

Addresses

Primary practice location

85 Park LN
West Harrison, NY 10604-1103

Mailing address

85 Park LN
West Harrison, NY 10604-1103
Phone (917) 596-1136

Other providers in West Harrison, NY

All providers in West Harrison, NY · Registered Dietitian in New York

Sources for this page

Verify at the official NPI Registry.