Individual
REBECCA CAROL MCDONALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
9 GLEASON RD, PROFESSIONAL BUILDING, GLENVILLE, NY 12302-5307
(518) 384-0562
Mailing address
9 GLEASON RD, PROFESSIONAL BUILDING, GLENVILLE, NY 12302-5307
(518) 384-0562
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
962107
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6000910
MVP
NY
Enumeration date
01/08/2007
Last updated
04/18/2016
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