Healthcare Provider Details

I. General information

NPI: 1922083484
Provider Name (Legal Business Name): GRETCHEN A SCALPI R.D., CDE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/07/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

386 LIBERTY ST
BEACON NY
12508-2103
US

IV. Provider business mailing address

386 LIBERTY ST
BEACON NY
12508-2103
US

V. Phone/Fax

Practice location:
  • Phone: 845-831-7258
  • Fax: 845-831-5178
Mailing address:
  • Phone: 845-831-7258
  • Fax: 845-831-5178

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number001356-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: