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NPI Code Detail

MEDICARE: ELIZABETH F DEROBERTIS MS,RD,CDN,CDE

MEDICARE: ELIZABETH F DEROBERTIS MS,RD,CDN,CDE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1133V00000XRegistered DietitianNY

General Provider Information

NPI Number : 1205897600
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIZABETH F DEROBERTIS MS,RD,CDN,CDE
Provider Business Mailing Address
First Line : 259 HEATHCOTE RD
Second Line :
City : SCARSDALE
State : NY
Zip : 10583-4523
Country : US
Telephone Number : 914-723-8100
Fax Number : 914-428-8167
Provider Business Practice Location Address
First Line : 259 HEATHCOTE RD
Second Line :
City : SCARSDALE
State : NY
Zip : 10583-4523
Country : US
Telephone Number : 914-723-8100
Fax Number : 914-428-8167
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/28/2006
Last Update Date : 12/16/2009

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