Provider Demographics
NPI:1508139718
Name:SZCZAWINSKI, ALISON MARIE (RD LD CDN)
Entity Type:Individual
Prefix:
First Name:ALISON
Middle Name:MARIE
Last Name:SZCZAWINSKI
Suffix:
Gender:F
Credentials:RD LD CDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 ROSE CT
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:NY
Mailing Address - Zip Code:12209-1317
Mailing Address - Country:US
Mailing Address - Phone:413-335-2517
Mailing Address - Fax:
Practice Address - Street 1:20 ROSE CT
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12209-1317
Practice Address - Country:US
Practice Address - Phone:413-335-2517
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-17
Last Update Date:2014-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY007338133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered