Debra Ann Ahola, R.D.N.

Individual provider Active NPI Registered Dietitian · Niskayuna, NY

NPI 1952854101 · NPPES record last updated Jul 24, 2016

Key facts

NPI
1952854101
Entity type
Individual (NPI type 1)
Primary specialty
Registered Dietitian 133V00000X
License
86050058 (NY)
Practice address
1913 Dean St
Niskayuna, NY 12309-4111
Phone
(518) 368-7579
NPI assigned
Jul 24, 2016
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

LicenseStateTypeSpecialty
86050058NYMDRegistered Dietitian

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 86050058 NY Yes

Addresses

Primary practice location

1913 Dean St
Niskayuna, NY 12309-4111

Mailing address

1913 Dean St
Niskayuna, NY 12309-4111
Phone (518) 368-7579

Other providers in Niskayuna, NY

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

Sources for this page

Verify at the official NPI Registry.