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Contact Information

VICTORIA R BANACZUK, MS, RD, LDN
593 EDDY ST
PROVIDENCE, RI02903-4923
 Phone: 401-444-5603
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dietitian, Registered

133V00000X 71 Registered Dietitian or Nutrition Professional
Indicates primary specialty

NPI Profile & details for VICTORIA R BANACZUK · (Female)

NPI Number 1831066828
Status Active
Credentials MS, RD, LDN
Entity Individual
Enumeration date 10/22/2025
Last updated 12/01/2025 - About 6 months ago
Sole proprietor 1 No
Identifiers
  • RI License # LDN01611
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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