Individual
MS. DIANE MARIE FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D., C.D.E.
Contact information
Practice address
800 IRVING AVE, SYRACUSE, NY 13210-2716
(315) 334-7100
(315) 334-7171
Mailing address
2711 HAYES RD E, BOONVILLE, NY 13309-5279
(315) 942-3316
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
07/31/2006
Last updated
07/08/2007
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