Provider Demographics
NPI:1184631020
Name:NORRIS, RACHEL E (RD, CDN)
Entity Type:Individual
Prefix:MS
First Name:RACHEL
Middle Name:E
Last Name:NORRIS
Suffix:
Gender:F
Credentials:RD, CDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:414 WOODHILL
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:NY
Mailing Address - Zip Code:14513-2051
Mailing Address - Country:US
Mailing Address - Phone:585-414-8231
Mailing Address - Fax:
Practice Address - Street 1:1250 DRIVING PARK AVENUE
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:NY
Practice Address - Zip Code:14513-2051
Practice Address - Country:US
Practice Address - Phone:315-332-2421
Practice Address - Fax:315-332-2496
Is Sole Proprietor?:No
Enumeration Date:2006-08-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered