Individual
NATALIE NICHOLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
100 FIELDSTONE LN, ITHACA, NY 14850-9596
(607) 391-5387
Mailing address
100 FIELDSTONE LN, ITHACA, NY 14850-9596
(607) 391-5387
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
009059-01
NY
Other
Enumeration date
05/21/2026
Last updated
05/21/2026
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