Individual
MISS DIANE JUNE DOUGLASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CDN, DTR
Contact information
Practice address
178 GRANDVIEW DR, BASSETT HOSPITAL OF SCHOHARIE COUNTY, COBLESKILL, NY 12043-5144
(518) 254-3403
Mailing address
7 SHAPER AVE, CANAJOHARIE, NY 13317-1326
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
004410
NY
136A00000X
Registered Dietetic Technician
Primary
708965
NY
Other
Enumeration date
05/02/2007
Last updated
09/11/2025
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