National Provider Identifier

Marilyn Konezny, RD CDE

Marilyn Konezny, RD CDE is listed in the NPPES registry with a primary specialty of Registered Dietitian in Rochester, NY and a listed phone number of (585) 368-4560.

NPI 1508887399Rochester, NYRegistered Dietitian

Profile Overview

NPI
1508887399
Provider Type
Individual
Primary Specialty
Registered Dietitian
Enumeration Date
July 21, 2006
Last Updated
March 12, 2019

Practice Location

  • 2655 Ridgeway Ave
  • Suite 220
  • Rochester, NY 14626-4296

Phone: (585) 368-4560

Specialties

  • Registered Dietitian (133V00000X)
Full Record
NPI
1508887399
Entity Type
Individual
Last Name
Konezny
First Name
Marilyn
Credential
RD CDE
Mailing Street Address
2655 Ridgeway Ave
Mailing Address Line 2
Suite 220
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14626-4296
Mailing Country
US
Mailing Phone
(585) 368-4560
Mailing Fax
(585) 368-4565
Practice Street Address
2655 Ridgeway Ave
Practice Address Line 2
Suite 220
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14626-4296
Practice Country
US
Practice Phone
(585) 368-4560
Practice Fax
(585) 368-4565
Enumeration Date
July 21, 2006
Last Updated
March 12, 2019
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Registered Dietitian (133V00000X)
Other Identifiers
P00330263 (NY, Medicare Railroad)