National Provider Identifier

Donna Jean Burdick, RD REG DIETITIAN

Donna Jean Burdick, RD REG DIETITIAN is listed in the NPPES registry with a primary specialty of Registered Dietitian in Elmira, NY and a listed phone number of (607) 734-6135.

NPI 1801064795Elmira, NYRegistered Dietitian

Profile Overview

NPI
1801064795
Provider Type
Individual
Primary Specialty
Registered Dietitian
Enumeration Date
February 14, 2008
Last Updated
May 30, 2014

Practice Location

  • 163 Sullivan St
  • Elmira, NY 14901-3331

Phone: (607) 734-6135

Specialties

  • Registered Dietitian (133V00000X)
Full Record
NPI
1801064795
Entity Type
Individual
Last Name
Burdick
First Name
Donna
Middle Name
Jean
Name Prefix
MS.
Credential
RD REG DIETITIAN
Mailing Street Address
163 Sullivan St
Mailing City
Elmira
Mailing State
NY
Mailing ZIP Code
14901-3331
Mailing Country
US
Mailing Phone
(607) 734-6135
Mailing Fax
(607) 734-8918
Practice Street Address
163 Sullivan St
Practice City
Elmira
Practice State
NY
Practice ZIP Code
14901-3331
Practice Country
US
Practice Phone
(607) 734-6135
Practice Fax
(607) 734-8918
Enumeration Date
February 14, 2008
Last Updated
May 30, 2014
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Registered Dietitian (133V00000X)