National Provider Identifier

Carolyn E Antoniw, MSRDN

Carolyn E Antoniw, MSRDN is listed in the NPPES registry with a primary specialty of Registered Dietitian in Montour Falls, NY and a listed phone number of (607) 535-7121.

NPI 1053781377Montour Falls, NYRegistered Dietitian

Profile Overview

NPI
1053781377
Provider Type
Individual
Primary Specialty
Registered Dietitian
Enumeration Date
September 29, 2015
Last Updated
September 29, 2015

Practice Location

  • 220 Steuben Street
  • Montour Falls, NY 14865

Phone: (607) 535-7121

Specialties

  • Registered Dietitian (133V00000X)
Full Record
NPI
1053781377
Entity Type
Individual
Last Name
Antoniw
First Name
Carolyn
Middle Name
E
Name Prefix
MS.
Credential
MSRDN
Mailing Street Address
220 Steuben Street
Mailing City
Montour Falls
Mailing State
NY
Mailing ZIP Code
14865
Mailing Country
US
Mailing Phone
(607) 535-7121
Mailing Fax
(607) 210-1936
Practice Street Address
220 Steuben Street
Practice City
Montour Falls
Practice State
NY
Practice ZIP Code
14865
Practice Country
US
Practice Phone
(607) 535-7121
Enumeration Date
September 29, 2015
Last Updated
September 29, 2015
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Registered Dietitian (133V00000X)