Individual
CLARE S DISANTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD,CDN
Contact information
Practice address
501 NEW KARNER RD, SUITE 1A, ALBANY, NY 12205-3882
(518) 452-1337
(518) 724-6660
Mailing address
711 TROY SCHENECTADY RD STE 203, LATHAM, NY 12110-2461
(518) 782-3700
(518) 782-3799
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
006935
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
069DF1
EMPIRE BLUECROSS BLUESHIELD
NY
01
—
101220000058
FIDELIS CARE NY
NY
01
—
644108
GHI/HMO
NY
01
—
9695604
AETNA
NY
Enumeration date
10/14/2010
Last updated
01/26/2018
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