Healthcare Provider Details

I. General information

NPI: 1801900907
Provider Name (Legal Business Name): BARBARA J STORMS R.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/18/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

76 VETERANS AVE
BATH NY
14810-0810
US

IV. Provider business mailing address

58 MAPLE AVE
COHOCTON NY
14826-9616
US

V. Phone/Fax

Practice location:
  • Phone: 607-664-4802
  • Fax:
Mailing address:
  • Phone: 585-384-5055
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: