Individual
MS. DIANE EHLE PIETROCARLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D., C.D.N.
Contact information
Practice address
9 GLEASON RD, PROFESSIONAL BUILDING, GLENVILLE, NY 12302-5307
(518) 384-0562
(518) 384-0562
Mailing address
400 RECTOR RD, GLENVILLE, NY 12302-6702
(518) 374-6424
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
535353
NY
Other
Enumeration date
05/04/2006
Last updated
10/07/2007
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