Provider Demographics
NPI:1437319910
Name:TOPPING, CELIA MOODIE (MNS, RD, CDE)
Entity Type:Individual
Prefix:MS
First Name:CELIA
Middle Name:MOODIE
Last Name:TOPPING
Suffix:
Gender:F
Credentials:MNS, RD, CDE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:62 ROLLING MEADOWS WAY
Mailing Address - Street 2:
Mailing Address - City:PENFIELD
Mailing Address - State:NY
Mailing Address - Zip Code:14526-1263
Mailing Address - Country:US
Mailing Address - Phone:585-377-9012
Mailing Address - Fax:
Practice Address - Street 1:62 ROLLING MEADOWS WAY
Practice Address - Street 2:
Practice Address - City:PENFIELD
Practice Address - State:NY
Practice Address - Zip Code:14526-1263
Practice Address - Country:US
Practice Address - Phone:585-377-9012
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-10
Last Update Date:2009-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY000486-1133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYDD4310Medicare PIN