| NPI | 1972851483 |
|---|---|
| Other Name | DIABETIC EDUCATION AND OPTIFAST PROGRAM |
| Entity Type | Organization |
| Authorized Contact | PAULA TINCH SVP Finance 585-922-1223 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism |
| Additional Taxonomies | 133VN1006X Dietitian, Registered, Nutrition, Metabolic |
| 163WN1003X Registered Nurse, Nutrition Support | |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2012-08-15 |
| Last Update Date | 2014-06-24 |