Provider Demographics
NPI:1669502167
Name:CAHILL, DOREEN P (CDN)
Entity Type:Individual
Prefix:
First Name:DOREEN
Middle Name:P
Last Name:CAHILL
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 1:100 E HARTSDALE AVE
Mailing Address - Street 2:HARTSDALE
Mailing Address - City:HARTSDALE
Mailing Address - State:NY
Mailing Address - Zip Code:10530-3207
Mailing Address - Country:US
Mailing Address - Phone:914-725-2991
Mailing Address - Fax:
Practice Address - Street 1:100 E HARTSDALE AVE
Practice Address - Street 2:HARTSDALE
Practice Address - City:HARTSDALE
Practice Address - State:NY
Practice Address - Zip Code:10530-3207
Practice Address - Country:US
Practice Address - Phone:914-725-2991
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered