Provider Demographics
NPI:1558033589
Name:GALLUZZO, CATHERINE LENA (RDN, CDN)
Entity Type:Individual
Prefix:MS
First Name:CATHERINE
Middle Name:LENA
Last Name:GALLUZZO
Suffix:
Gender:F
Credentials:RDN, CDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 MAIDEN LN
Mailing Address - Street 2:
Mailing Address - City:NEW CITY
Mailing Address - State:NY
Mailing Address - Zip Code:10956-6610
Mailing Address - Country:US
Mailing Address - Phone:845-224-7566
Mailing Address - Fax:
Practice Address - Street 1:3 MAIDEN LN
Practice Address - Street 2:
Practice Address - City:NEW CITY
Practice Address - State:NY
Practice Address - Zip Code:10956-6610
Practice Address - Country:US
Practice Address - Phone:845-224-7566
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-28
Last Update Date:2021-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY86048518133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty