Michelle Daum, M.S., R.D.
Individual provider Active NPI Registered Dietitian · Larchmont, NY
NPI 1508300237 · NPPES record last updated Dec 14, 2016
Key facts
- NPI
- 1508300237
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- 002423 (NY)
- Practice address
- 54 Beach Ave
Larchmont, NY 10538-4003 - Phone
- (914) 834-0483
- NPI assigned
- Dec 14, 2016
- 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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002423 | NY | MD | Registered Dietitian |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 002423 | NY | Yes |
Addresses
Primary practice location
54 Beach Ave
Larchmont, NY 10538-4003
Mailing address
54 Beach Ave
Larchmont, NY 10538-4003
Phone (914) 834-0483
Other providers in Larchmont, NY
- CVS Albany LLC
- CVS Albany LLC
- CVS Pharmacy
- Christine Hidalgo Danberg
- Patricia A Dashiell
- Carrie Heath Dean
- Robert Degen
- Cheryl Lynn Delaney
- Tracy Diamond-Gasmer
- Talia K Dipietro
All providers in Larchmont, 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 Dec 14, 2016. 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.