National Provider Identifier
Jackie Marie Darcangelo, RD, CDCES
Jackie Marie Darcangelo, RD, CDCES is listed in the NPPES registry with a primary specialty of Registered Dietitian in Rochester, NY and a listed phone number of (585) 922-8400.
Profile Overview
- NPI
- 1104506187
- Provider Type
- Individual
- Primary Specialty
- Registered Dietitian
- Enumeration Date
- July 24, 2023
- Last Updated
- July 24, 2023
Practice Location
- 224 Alexander St Ste 200
- Rochester, NY 14607-4000
Phone: (585) 922-8400
Mailing Address
- 210 Willow Creek Ln
- Rochester, NY 14622-1780
Specialties
- Registered Dietitian (133V00000X)
Full Record
- NPI
- 1104506187
- Entity Type
- Individual
- Last Name
- Darcangelo
- First Name
- Jackie
- Middle Name
- Marie
- Credential
- RD, CDCES
- Mailing Street Address
- 210 Willow Creek Ln
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14622-1780
- Mailing Country
- US
- Mailing Phone
- (585) 406-7863
- Practice Street Address
- 224 Alexander St Ste 200
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14607-4000
- Practice Country
- US
- Practice Phone
- (585) 922-8400
- Enumeration Date
- July 24, 2023
- Last Updated
- July 24, 2023
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- July 24, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Registered Dietitian (133V00000X)