NPI 1316515208

Dietitians of Northern New York, PLLC.

Organisation Registered Dietitian Watertown, NY

Practice location

Address: 415 Sherman St, Watertown, NY 13601-3920
Phone: (315) 221-4881
Fax: (315) 777-4111

Authorised official

Name: Etosha Farmer
Title: Owner
Phone: (315) 221-4881

Registered specialties

Registered Dietitian Primary

Dietary & Nutritional Service Providers Taxonomy 133V00000X

Other Dietitian, Registered providers in New York →

Registry record

NPI: 1316515208
Entity type: Organization
NPI issued: 16 Jun 2021
Record last updated: 21 Nov 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.