National Provider Identifier

Erin M Fennelly

Erin M Fennelly is listed in the NPPES registry with a primary specialty of Registered Dietitian in Canandaigua, NY and a listed phone number of (202) 400-0008.

NPI 1518526219Canandaigua, NYRegistered Dietitian

Profile Overview

NPI
1518526219
Provider Type
Individual
Primary Specialty
Registered Dietitian
Enumeration Date
June 07, 2019
Last Updated
June 07, 2019

Practice Location

  • 4545 Middle Cheshire RD
  • Canandaigua, NY 14424-8317

Phone: (202) 400-0008

Specialties

  • Registered Dietitian (133V00000X)
Full Record
NPI
1518526219
Entity Type
Individual
Last Name
Fennelly
First Name
Erin
Middle Name
M
Mailing Street Address
4545 Middle Cheshire RD
Mailing City
Canandaigua
Mailing State
NY
Mailing ZIP Code
14424-8317
Mailing Country
US
Practice Street Address
4545 Middle Cheshire RD
Practice City
Canandaigua
Practice State
NY
Practice ZIP Code
14424-8317
Practice Country
US
Practice Phone
(202) 400-0008
Enumeration Date
June 07, 2019
Last Updated
June 07, 2019
Sex
Female
Sole Proprietor
Yes
Taxonomy Group 1
193400000X Single Specialty Group
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Registered Dietitian (133V00000X)