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Contact Information

KATHY L ANDERSON, R.D. MS, CDN, MBA
2504 OLINVILLE AVE
APT 1G
BRONX, NY10467-7452
 Phone: 646-261-7091
 Fax: 914-293-2661
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dietitian, Registered

133V00000X 71 Registered Dietitian or Nutrition Professional
Indicates primary specialty

NPI Profile & details for KATHY L ANDERSON · (Female)

NPI # 1154763233
Status Active
Credentials R.D. MS, CDN, MBA
Entity Individual
Enumeration date 07/18/2013
Last updated 05/04/2015 - About 11 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 719830
  • NY Other 001798 CD/N CERTIFIED DIETITIAN NUTRITIONIST UNIVERSITY OF THE STATE OF NEW YORK
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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