Provider Demographics
NPI:1841736568
Name:UZCATEGUI, JANE BURRELL (MS, RD)
Entity Type:Individual
Prefix:MS
First Name:JANE
Middle Name:BURRELL
Last Name:UZCATEGUI
Suffix:
Gender:F
Credentials:MS, RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:67 LINCKLAEN ST
Mailing Address - Street 2:
Mailing Address - City:CAZENOVIA
Mailing Address - State:NY
Mailing Address - Zip Code:13035-1028
Mailing Address - Country:US
Mailing Address - Phone:315-720-3813
Mailing Address - Fax:
Practice Address - Street 1:67 LINCKLAEN ST
Practice Address - Street 2:
Practice Address - City:CAZENOVIA
Practice Address - State:NY
Practice Address - Zip Code:13035-1028
Practice Address - Country:US
Practice Address - Phone:315-720-3813
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-01-19
Last Update Date:2017-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered