National Provider Identifier
Leslie Larae Elliott, RD, CDN
Leslie Larae Elliott, RD, CDN is listed in the NPPES registry with a primary specialty of Registered Dietitian in Bluff Point, NY and a listed phone number of (315) 521-3017.
Profile Overview
- NPI
- 1952653800
- Provider Type
- Individual
- Primary Specialty
- Registered Dietitian
- Enumeration Date
- October 02, 2012
- Last Updated
- October 02, 2012
Practice Location
- 3810 Skyline Dr
- Bluff Point, NY 14478-9730
Phone: (315) 521-3017
Specialties
- Registered Dietitian (133V00000X)
Full Record
- NPI
- 1952653800
- Entity Type
- Individual
- Last Name
- Elliott
- First Name
- Leslie
- Middle Name
- Larae
- Name Prefix
- Mrs.
- Credential
- RD, CDN
- Mailing Street Address
- 3810 Skyline Dr
- Mailing City
- Bluff Point
- Mailing State
- NY
- Mailing ZIP Code
- 14478-9730
- Mailing Country
- US
- Mailing Phone
- (315) 521-3017
- Practice Street Address
- 3810 Skyline Dr
- Practice City
- Bluff Point
- Practice State
- NY
- Practice ZIP Code
- 14478-9730
- Practice Country
- US
- Practice Phone
- (315) 521-3017
- Enumeration Date
- October 02, 2012
- Last Updated
- October 02, 2012
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Registered Dietitian (133V00000X)