Provider Demographics
NPI:1508018714
Name:KABELI, ERICA L (CDN)
Entity Type:Individual
Prefix:MS
First Name:ERICA
Middle Name:L
Last Name:KABELI
Suffix:
Gender:F
Credentials:CDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 119
Mailing Address - Street 2:
Mailing Address - City:WOODBOURNE
Mailing Address - State:NY
Mailing Address - Zip Code:12788-0119
Mailing Address - Country:US
Mailing Address - Phone:845-434-5793
Mailing Address - Fax:
Practice Address - Street 1:6354 RTE 42
Practice Address - Street 2:
Practice Address - City:WOODBOURNE
Practice Address - State:NY
Practice Address - Zip Code:12788
Practice Address - Country:US
Practice Address - Phone:845-434-5793
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-10-21
Last Update Date:2008-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY006149-1133N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133N00000XDietary & Nutritional Service ProvidersNutritionist