National Provider Identifier

Colleen M Iavarone, RD, CDN, CNSD

Colleen M Iavarone, RD, CDN, CNSD is listed in the NPPES registry with a primary specialty of Registered Dietitian in Elmira, NY and a listed phone number of (607) 737-4929.

NPI 1326364761Elmira, NYRegistered Dietitian

Profile Overview

NPI
1326364761
Provider Type
Individual
Primary Specialty
Registered Dietitian
Enumeration Date
April 09, 2010
Last Updated
April 09, 2010

Practice Location

  • 100 Washington St
  • Elmira, NY 14901-2849

Phone: (607) 737-4929

Mailing Address

  • 92 Briarcliff Dr
  • Horseheads, NY 14845-1660

Specialties

  • Registered Dietitian (133V00000X)
  • Nutritionist (133N00000X)
Full Record
NPI
1326364761
Entity Type
Individual
Last Name
Iavarone
First Name
Colleen
Middle Name
M
Name Prefix
MS.
Credential
RD, CDN, CNSD
Mailing Street Address
92 Briarcliff Dr
Mailing City
Horseheads
Mailing State
NY
Mailing ZIP Code
14845-1660
Mailing Country
US
Mailing Phone
(607) 737-4929
Practice Street Address
100 Washington St
Practice City
Elmira
Practice State
NY
Practice ZIP Code
14901-2849
Practice Country
US
Practice Phone
(607) 737-4929
Enumeration Date
April 09, 2010
Last Updated
April 09, 2010
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Registered Dietitian (133V00000X), Nutritionist (133N00000X)