Provider Demographics
NPI:1730653031
Name:MARCHEFKA, ERIN (RD, CDN)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:
Last Name:MARCHEFKA
Suffix:
Gender:F
Credentials:RD, CDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:703 COSBY RD
Mailing Address - Street 2:
Mailing Address - City:UTICA
Mailing Address - State:NY
Mailing Address - Zip Code:13502-1421
Mailing Address - Country:US
Mailing Address - Phone:315-982-2731
Mailing Address - Fax:
Practice Address - Street 1:40 OXFORD RD
Practice Address - Street 2:SUITE 3
Practice Address - City:NEW HARTFORD
Practice Address - State:NY
Practice Address - Zip Code:13413-1421
Practice Address - Country:US
Practice Address - Phone:315-219-4061
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-01-20
Last Update Date:2024-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY011248133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered