National Provider Identifier
Christopher Michael Idzik, RD
Christopher Michael Idzik, RD is listed in the NPPES registry with a primary specialty of Registered Dietitian in Rochester, NY and a listed phone number of (585) 241-1946.
Profile Overview
- NPI
- 1518625953
- Provider Type
- Individual
- Primary Specialty
- Registered Dietitian
- Enumeration Date
- December 02, 2021
- Last Updated
- December 02, 2021
Practice Location
- 1111 Elmwood Ave
- Rochester, NY 14620-3005
Phone: (585) 241-1946
Specialties
- Registered Dietitian (133V00000X)
Full Record
- NPI
- 1518625953
- Entity Type
- Individual
- Last Name
- Idzik
- First Name
- Christopher
- Middle Name
- Michael
- Credential
- RD
- Mailing Street Address
- 1111 Elmwood Ave
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14620-3005
- Mailing Country
- US
- Practice Street Address
- 1111 Elmwood Ave
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14620-3005
- Practice Country
- US
- Practice Phone
- (585) 241-1946
- Enumeration Date
- December 02, 2021
- Last Updated
- December 02, 2021
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- December 02, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Registered Dietitian (133V00000X)