Healthcare Provider Details

I. General information

NPI: 1275390809
Provider Name (Legal Business Name): EMILY HUTCHINS RDN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/29/2024
Last Update Date: 10/02/2025
Certification Date: 10/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5348 PERU ST STE 101
PLATTSBURGH NY
12903-4606
US

IV. Provider business mailing address

5348 PERU ST STE 101
PLATTSBURGH NY
12903-4606
US

V. Phone/Fax

Practice location:
  • Phone: 518-593-9264
  • Fax:
Mailing address:
  • Phone: 518-593-9264
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number010637
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: