National Provider Identifier

Christie L Suders, REGISTERED DIETITIAN

Christie L Suders, REGISTERED DIETITIAN is listed in the NPPES registry with a primary specialty of Registered Dietitian in Penfield, NY and a listed phone number of (585) 729-6565.

NPI 1023848439Penfield, NYRegistered Dietitian

Profile Overview

NPI
1023848439
Provider Type
Individual
Primary Specialty
Registered Dietitian
Enumeration Date
August 02, 2024
Last Updated
August 02, 2024

Practice Location

  • 15 Shady Rock RD
  • Penfield, NY 14526-9000

Phone: (585) 729-6565

Specialties

  • Registered Dietitian (133V00000X)
Full Record
NPI
1023848439
Entity Type
Individual
Last Name
Suders
First Name
Christie
Middle Name
L
Credential
REGISTERED DIETITIAN
Mailing Street Address
15 Shady Rock RD
Mailing City
Penfield
Mailing State
NY
Mailing ZIP Code
14526-9000
Mailing Country
US
Mailing Phone
(585) 729-6565
Practice Street Address
15 Shady Rock RD
Practice City
Penfield
Practice State
NY
Practice ZIP Code
14526-9000
Practice Country
US
Practice Phone
(585) 729-6565
Enumeration Date
August 02, 2024
Last Updated
August 02, 2024
Sex
Female
Sole Proprietor
Yes
Certification Date
August 02, 2024
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Registered Dietitian (133V00000X)