Provider Demographics
NPI:1639871338
Name:MARZANO, JULIA NANI (RD)
Entity Type:Individual
Prefix:
First Name:JULIA
Middle Name:NANI
Last Name:MARZANO
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12 MILHAM RD
Mailing Address - Street 2:
Mailing Address - City:RHINEBECK
Mailing Address - State:NY
Mailing Address - Zip Code:12572-2175
Mailing Address - Country:US
Mailing Address - Phone:845-594-4828
Mailing Address - Fax:
Practice Address - Street 1:12 MILHAM RD
Practice Address - Street 2:
Practice Address - City:RHINEBECK
Practice Address - State:NY
Practice Address - Zip Code:12572-2175
Practice Address - Country:US
Practice Address - Phone:845-594-4828
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-20
Last Update Date:2023-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered