Kim Marie Leidner in West Babylon - Dietitian, Registered

Kim Marie Leidner - NPI 1790853745

Kim Marie Leidner is a Dietitian, Registered in West Babylon, New York. Kim Marie Leidner practices all healthcare services and medical treatments related to Dietitian, Registered. The NPI Number for Kim Marie Leidner is 1790853745. The last update date is 2007-07-08.

Kim Marie Leidner's current location address is 986 Sunrise Hwy, West Babylon, New York. You can contact this provider via phone number 6315876060 and fax number 6315871364. The mailing address for Kim Marie Leidner is 986 Sunrise Hwy, West Babylon, New York. To know further, please read the information below!

Provider Profile Detail

Provider Name Kim Marie Leidner
Address 986 Sunrise Hwy, West Babylon, New York
Phone Number 6315876060
Fax Number 6315871364
Sole Proprietor Y
Credentials MSRD, CDE

NPI Number Detail

NPI Number 1790853745
Provider Enumeration Date 2006-11-30
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 986 Sunrise Hwy
City West Babylon
State New York (NY)
Post Code 117046111
Phone Number 6315876060
Fax Number 6315871364

Provider's Primary Taxonomy Detail

Speciality Dietitian, Registered
Taxonomy 133V00000X
Licence No 806597
Definition:
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
5457751 NY CIGNA
AZ00894 NY MDNY
3C7122 NY HEALTHNET
8099804 NY GHI
2595970 NY AETNA
IG0951 NY BLUE CROSS
P2720854 NY OXFORD

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FAQs about Kim Marie Leidner

What is the Kim Marie Leidner's unique identification number?

The Kim Marie Leidner has been assigned the NPI (National Provider Identifier) Number 1790853745 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please share the complete physical address where Kim Marie Leidner is geographically located?

The Kim Marie Leidner is physically situated at the following location: 986 Sunrise Hwy, West Babylon, NY, 117046111.

What is Kim Marie Leidner's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Kim Marie Leidner is Dietitian, Registered, and the taxonomy classification code that categorizes this area of expertise is 133V00000X.

When was the Kim Marie Leidner's 1790853745 issued?

The Kim Marie Leidner's 1790853745 was issued on 2006-11-30.

As of what date was the information pertaining to Kim Marie Leidner, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Kim Marie Leidner, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.

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