National Provider Identifier

Joel Adam Drake, MED, MS, RD, CDN

Joel Adam Drake, MED, MS, RD, CDN is listed in the NPPES registry with a primary specialty of Registered Dietitian in Elmira, NY and a listed phone number of (607) 733-6541.

NPI 1922277086Elmira, NYRegistered Dietitian

Profile Overview

NPI
1922277086
Provider Type
Individual
Primary Specialty
Registered Dietitian
Enumeration Date
February 22, 2008
Last Updated
February 22, 2008

Practice Location

  • 555 E Market St
  • Elmira, NY 14901-3223

Phone: (607) 733-6541

Specialties

  • Registered Dietitian (133V00000X)
Full Record
NPI
1922277086
Entity Type
Individual
Last Name
Drake
First Name
Joel
Middle Name
Adam
Name Prefix
Mr.
Credential
MED, MS, RD, CDN
Mailing Street Address
555 E Market St
Mailing City
Elmira
Mailing State
NY
Mailing ZIP Code
14901-3223
Mailing Country
US
Mailing Phone
(607) 733-6541
Practice Street Address
555 E Market St
Practice City
Elmira
Practice State
NY
Practice ZIP Code
14901-3223
Practice Country
US
Practice Phone
(607) 733-6541
Enumeration Date
February 22, 2008
Last Updated
February 22, 2008
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Registered Dietitian (133V00000X)