National Provider Identifier
Krista Ali Fedorchak, MS, RDN, CDN
Krista Ali Fedorchak, MS, RDN, CDN is listed in the NPPES registry with a primary specialty of Registered Dietitian in Ithaca, NY and a listed phone number of (607) 252-3590.
Profile Overview
- NPI
- 1497271167
- Provider Type
- Individual
- Primary Specialty
- Registered Dietitian
- Enumeration Date
- August 15, 2017
- Last Updated
- February 08, 2024
Practice Location
- 310 Taughannock Blvd
- Ithaca, NY 14850-3251
Phone: (607) 252-3590
Specialties
- Registered Dietitian (133V00000X)
Full Record
- NPI
- 1497271167
- Entity Type
- Individual
- Last Name
- Fedorchak
- First Name
- Krista
- Middle Name
- Ali
- Credential
- MS, RDN, CDN
- Mailing Street Address
- 310 Taughannock Blvd
- Mailing City
- Ithaca
- Mailing State
- NY
- Mailing ZIP Code
- 14850-3251
- Mailing Country
- US
- Practice Street Address
- 310 Taughannock Blvd
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-3251
- Practice Country
- US
- Practice Phone
- (607) 252-3590
- Enumeration Date
- August 15, 2017
- Last Updated
- February 08, 2024
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- February 08, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Registered Dietitian (133V00000X)