Provider Demographics
NPI:1366016164
Name:RAMALLO, FELICIA MARIE (MSCN, RD)
Entity Type:Individual
Prefix:MISS
First Name:FELICIA
Middle Name:MARIE
Last Name:RAMALLO
Suffix:
Gender:F
Credentials:MSCN, RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:149 GREYSTONE LN APT 13
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14618-4928
Mailing Address - Country:US
Mailing Address - Phone:585-613-5455
Mailing Address - Fax:
Practice Address - Street 1:149 GREYSTONE LN APT 13
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14618-4928
Practice Address - Country:US
Practice Address - Phone:585-613-5455
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-17
Last Update Date:2021-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered