Organization
DEPARTMENT OF VETERANS AFFAIRS BATAVIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KIRK ROBERT NEWCOMB R.D. (DIETITIAN)
(585) 297-1031
Entity
Organization
Contact information
Practice address
222 RICHMOND AVE, BATAVIA, NY 14020-1227
(585) 297-1031
Mailing address
222 RICHMOND AVE, BATAVIA, NY 14020-1227
(585) 297-1031
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
885429
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
885429
REGISTRATION DIETITIAN
IL
Enumeration date
02/09/2007
Last updated
08/22/2020
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