Provider Demographics
NPI:1033240726
Name:DELCONTE, EMILY SNOW (RD)
Entity Type:Individual
Prefix:MRS
First Name:EMILY
Middle Name:SNOW
Last Name:DELCONTE
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:EMILY
Other - Middle Name:SNOW
Other - Last Name:GEDNEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RD
Mailing Address - Street 1:450 VETERANS MEMORIAL PKWY STE 8C
Mailing Address - Street 2:
Mailing Address - City:EAST PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02914-5300
Mailing Address - Country:US
Mailing Address - Phone:401-396-9331
Mailing Address - Fax:401-396-9369
Practice Address - Street 1:450 VETERANS MEMORIAL PKWY STE 8C
Practice Address - Street 2:
Practice Address - City:EAST PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02914-5300
Practice Address - Country:US
Practice Address - Phone:401-396-9331
Practice Address - Fax:401-396-9369
Is Sole Proprietor?:No
Enumeration Date:2007-03-07
Last Update Date:2020-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RILDN00598133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA2523OtherSTATE LICENSE
RILDN00598OtherLICENSE NUMBER
RI956516OtherCDR DIETETIC REGISTRATION
RI719005489Medicare UPIN