Corinne Balducci, RD MPH CDN

Individual provider Active NPI Registered Dietitian · Montrose, NY

NPI 1629467170 · NPPES record last updated Jan 21, 2015

Key facts

NPI
1629467170
Entity type
Individual (NPI type 1)
Primary specialty
Registered Dietitian 133V00000X
License
001279 (NY)
Practice address
2094 Albany Post Rd
Montrose, NY 10548-1454
Phone
(914) 737-4400
NPI assigned
Jan 21, 2015
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)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 001279 NY Yes

Addresses

Primary practice location

2094 Albany Post Rd
Montrose, NY 10548-1454

Mailing address

8 Robbins Rd
Pleasantville, NY 10570-2436

Other providers in Montrose, NY

All providers in Montrose, NY · Registered Dietitian in New York

Sources for this page

Verify at the official NPI Registry.