Provider Demographics
NPI:1477222909
Name:USHAY, DIANA MARIE (RDN)
Entity Type:Individual
Prefix:
First Name:DIANA
Middle Name:MARIE
Last Name:USHAY
Suffix:
Gender:F
Credentials:RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:56 LOCKWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:BRONXVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:10708-4512
Mailing Address - Country:US
Mailing Address - Phone:914-803-2377
Mailing Address - Fax:
Practice Address - Street 1:56 LOCKWOOD AVE
Practice Address - Street 2:
Practice Address - City:BRONXVILLE
Practice Address - State:NY
Practice Address - Zip Code:10708-4512
Practice Address - Country:US
Practice Address - Phone:914-803-2377
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-08
Last Update Date:2023-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY86148063133V00000X
NY010919133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered