MEDICARE: ERIN MARCHEFKA RD, CDN

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
1	133V00000X	Registered Dietitian	011248	NY

General Provider Information

NPI Number	:	1730653031
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERIN MARCHEFKA RD, CDN

Provider Business Mailing Address
First Line	:	703 COSBY RD
Second Line	:
City	:	UTICA
State	:	NY
Zip	:	13502-1421
Country	:	US
Telephone Number	:	315-982-2731
Fax Number	:

Provider Business Practice Location Address
First Line	:	40 OXFORD RD
Second Line	:	SUITE 3
City	:	NEW HARTFORD
State	:	NY
Zip	:	13413-1421
Country	:	US
Telephone Number	:	315-219-4061
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/20/2019
Last Update Date	:	02/21/2024

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