| |
12835 Whitney Rd, Holland, NY 14080-9753 | |
(716) 316-3722 | |
(716) 537-2475 |
Full Name | |
---|---|
Type | Facility |
Speciality | Dietitian, Registered |
Location | 12835 Whitney Rd, Holland, New York |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1801347422 | NPI | - | NPPES |
005754-1 | Other | NY | PROFESSIONAL LICENSE NYS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | 005754-1 (New York) | Primary |
Mailing Address | Practice Location Address |
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12835 Whitney Rd, Holland, NY 14080-9753 Ph: (716) 316-3722 | 12835 Whitney Rd, Holland, NY 14080-9753 Ph: (716) 316-3722 |
Sarah A Thompson Dipaolo, MS, RD, CDN Dietitian Medicare: Medicare Enrolled Practice Location: 12835 Whitney Rd, Holland, NY 14080 Phone: 716-316-3722 Fax: 716-537-2475 |