National Provider Identifier
Anthony Dominick Patricelli Jr., RD, CDN
Anthony Dominick Patricelli Jr., RD, CDN 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.
Profile Overview
- NPI
- 1407055882
- Provider Type
- Individual
- Primary Specialty
- Registered Dietitian
- Enumeration Date
- July 16, 2007
- Last Updated
- July 26, 2024
Practice Location
- 100 Washington St
- Elmira, NY 14901-2849
Phone: (607) 737-4929
Specialties
- Registered Dietitian (133V00000X)
Full Record
- NPI
- 1407055882
- Entity Type
- Individual
- Last Name
- Patricelli
- First Name
- Anthony
- Middle Name
- Dominick
- Name Prefix
- Mr.
- Name Suffix
- Jr.
- Credential
- RD, CDN
- Mailing Street Address
- 100 Washington St
- Mailing City
- Elmira
- Mailing State
- NY
- Mailing ZIP Code
- 14901-2849
- Mailing Country
- US
- Mailing Phone
- (607) 737-4929
- Mailing Fax
- (607) 737-7837
- 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
- Practice Fax
- (607) 737-4956
- Enumeration Date
- July 16, 2007
- Last Updated
- July 26, 2024
- Sex
- Male
- Sole Proprietor
- Yes
- Certification Date
- July 26, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Registered Dietitian (133V00000X)