Provider Demographics
NPI:1790985455
Name:MEISSNER, MARGARET MARY (MS RD CDN CDE)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:MARY
Last Name:MEISSNER
Suffix:
Gender:F
Credentials:MS RD CDN CDE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:845 ROUTES 5 & 20
Mailing Address - Street 2:
Mailing Address - City:IRVING
Mailing Address - State:NY
Mailing Address - Zip Code:14081
Mailing Address - Country:US
Mailing Address - Phone:716-951-7252
Mailing Address - Fax:716-951-7046
Practice Address - Street 1:845 ROUTES 5 & 20
Practice Address - Street 2:
Practice Address - City:IRVING
Practice Address - State:NY
Practice Address - Zip Code:14081
Practice Address - Country:US
Practice Address - Phone:716-951-7252
Practice Address - Fax:716-951-7046
Is Sole Proprietor?:No
Enumeration Date:2007-07-20
Last Update Date:2007-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY005819-1133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered