Individual
MRS. CAROLINE L WEIZENECKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, CDN
Contact information
Practice address
996 ROUTE 311, PATTERSON, NY 12563-2707
(120) 354-5822
Mailing address
996 ROUTE 311, PATTERSON, NY 12563-2707
(203) 545-8227
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
711260
NY
133V00000X
Registered Dietitian
Primary
711260
NY
Other
Enumeration date
08/22/2022
Last updated
08/22/2022
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