Individual
MRS. CATHERINE M OLMSTEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
160 E MAIN ST, PORT JERVIS, NY 12771-2253
(845) 858-7795
(845) 858-7420
Mailing address
160 E MAIN ST, PORT JERVIS, NY 12771-2253
(845) 858-7795
(845) 858-7420
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
0038961
NY
133V00000X
Registered Dietitian
Primary
667772
NY
133VN1006X
Metabolic Nutrition Registered Dietitian
CDE 20620341
NY
Other
Enumeration date
03/05/2010
Last updated
12/09/2010
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