National Provider Identifier
Bernice Ruth Pine, R.D.
Bernice Ruth Pine, R.D. is listed in the NPPES registry with a primary specialty of Registered Dietitian in Ithaca, NY and a listed phone number of (607) 375-6330.
Profile Overview
- NPI
- 1598085839
- Provider Type
- Individual
- Primary Specialty
- Registered Dietitian
- Enumeration Date
- June 09, 2010
- Last Updated
- June 09, 2010
Practice Location
- 1 Bella Vista Drive
- Ithaca, NY 14850
Phone: (607) 375-6330
Mailing Address
- P.O. Box 383
- Dryden, NY 13053
Specialties
- Registered Dietitian (133V00000X)
Full Record
- NPI
- 1598085839
- Entity Type
- Individual
- Last Name
- Pine
- First Name
- Bernice
- Middle Name
- Ruth
- Name Prefix
- Miss
- Credential
- R.D.
- Mailing Street Address
- P.O. Box 383
- Mailing City
- Dryden
- Mailing State
- NY
- Mailing ZIP Code
- 13053
- Mailing Country
- US
- Mailing Phone
- (607) 753-5061
- Mailing Fax
- (607) 756-3478
- Practice Street Address
- 1 Bella Vista Drive
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850
- Practice Country
- US
- Practice Phone
- (607) 375-6330
- Practice Fax
- (607) 375-6301
- Enumeration Date
- June 09, 2010
- Last Updated
- June 09, 2010
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Registered Dietitian (133V00000X)