Organization
NUTRITION SERVICE OF UPSTATE NEW YORK, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLYN CHAFFEE MS, RDN, CEDRD-S (OWNER, DIETITIAN)
(607) 732-5646
Entity
Organization
Contact information
Practice address
1003 WALNUT ST, ELMIRA, NY 14901-1007
(607) 732-5646
Mailing address
1003 WALNUT ST, ELMIRA, NY 14901-1007
(607) 732-5646
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
12/13/2021
Last updated
12/13/2021
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