Individual
HEIDI MARIE BEHRENS-ANGELO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D., C.D.N.
Contact information
Practice address
427 GUY PARK AVENUE, AMSTERDAM, NY 12010
(518) 841-7189
Mailing address
427 GUY PARK AVENUE, AMSTERDAM, NY 12010
(518) 841-7189
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
006431
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DD-3754
MEDICARE
—
Enumeration date
12/24/2007
Last updated
12/24/2007
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