National Provider Identifier
Stefanie Blake Tubin, RD, CDN, IBCLC
Stefanie Blake Tubin, RD, CDN, IBCLC is listed in the NPPES registry with a primary specialty of Registered Dietitian in Clarence Center, NY and a listed phone number of (716) 741-0107.
Profile Overview
- NPI
- 1851645485
- Provider Type
- Individual
- Primary Specialty
- Registered Dietitian
- Enumeration Date
- November 05, 2012
- Last Updated
- November 05, 2012
Practice Location
- 9070 Michael Douglas Dr
- Clarence Center, NY 14032-9276
Phone: (716) 741-0107
Specialties
- Registered Dietitian (133V00000X)
Full Record
- NPI
- 1851645485
- Entity Type
- Individual
- Last Name
- Tubin
- First Name
- Stefanie
- Middle Name
- Blake
- Name Prefix
- Mrs.
- Credential
- RD, CDN, IBCLC
- Mailing Street Address
- 9070 Michael Douglas Dr
- Mailing City
- Clarence Center
- Mailing State
- NY
- Mailing ZIP Code
- 14032-9276
- Mailing Country
- US
- Mailing Phone
- (716) 741-0107
- Practice Street Address
- 9070 Michael Douglas Dr
- Practice City
- Clarence Center
- Practice State
- NY
- Practice ZIP Code
- 14032-9276
- Practice Country
- US
- Practice Phone
- (716) 741-0107
- Enumeration Date
- November 05, 2012
- Last Updated
- November 05, 2012
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Registered Dietitian (133V00000X)