Marypat Driscoll Ambrosino, RD
Individual provider Active NPI Registered Dietitian · Schenectady, NY
NPI 1295828580 · NPPES record last updated Jan 6, 2010
Key facts
- NPI
- 1295828580
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- 003186 (NY)
- Practice address
- 600 McClellan St
2 East
Schenectady, NY 12304-1009 - Phone
- (518) 347-5421
- NPI assigned
- Oct 2, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 003186 | NY | MD | Audiologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 003186 | NY | Yes |
Addresses
Primary practice location
600 McClellan St
2 East
Schenectady, NY 12304-1009
Mailing address
600 McClellan St
2 East
Schenectady, NY 12304-1009
Phone (518) 347-5421
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10128841 | Other | NY | CDPHP |
Other providers in Schenectady, NY
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- Amber L. Shutter N.P., in Psychiatry, PLLC
- Ame L.L.C.
- Rosemarie Dorothea Amendolia
- America Homecare Agency Services Corporation
- American Meditransport LLC
- Andre Villegas Amistoso
All providers in Schenectady, NY · Registered Dietitian in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 6, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.