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Organization
NUTRITION SERVICE OF UPSTATE NEW YORK, LLC
Active
Organization
NUTRITION SERVICE OF UPSTATE NEW YORK, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLYN CHAFFEE MS, RDN, CEDRD-S (OWNER, DIETITIAN)
(607) 732-5646
Entity
Organization
Contact information
Practice address
1003 WALNUT ST, ELMIRA, NY 14901-1007
(607) 732-5646
Mailing address
1003 WALNUT ST, ELMIRA, NY 14901-1007
(607) 732-5646
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
12/13/2021
Last updated
12/13/2021
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