Individual
DAWN PATRICIA BERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
215 WASHINGTON ST, SUITE 108, WATERTOWN, NY 13601-3329
(315) 783-6810
Mailing address
215 WASHINGTON ST, SUITE 108, WATERTOWN, NY 13601-3329
(315) 783-6810
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
006277
NY
133VN1005X
Renal Nutrition Registered Dietitian
06277
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
006377
NYS CERTIFICATION (CERTIFIED DIETITIAN/ NUTRITIONIST)
NY
01
—
896001
REGISTERED DIETITIAN REGISTRATION NUMBER
—
Enumeration date
11/05/2008
Last updated
05/13/2013
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