Provider Demographics
NPI:1033671847
Name:CUMOLETTI, LINDSEY GRACE (MS RDN)
Entity Type:Individual
Prefix:MRS
First Name:LINDSEY
Middle Name:GRACE
Last Name:CUMOLETTI
Suffix:
Gender:F
Credentials:MS RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:679 NEW SALEM RD
Mailing Address - Street 2:
Mailing Address - City:VOORHEESVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:12186-4832
Mailing Address - Country:US
Mailing Address - Phone:518-470-0866
Mailing Address - Fax:419-931-8145
Practice Address - Street 1:125 ADAMS ST
Practice Address - Street 2:
Practice Address - City:DELMAR
Practice Address - State:NY
Practice Address - Zip Code:12054-3211
Practice Address - Country:US
Practice Address - Phone:518-470-0866
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-01
Last Update Date:2020-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered