Provider Demographics
NPI:1922083484
Name:SCALPI, GRETCHEN A (RD, CDE)
Entity Type:Individual
Prefix:
First Name:GRETCHEN
Middle Name:A
Last Name:SCALPI
Suffix:
Gender:F
Credentials:RD, CDE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:386 LIBERTY ST
Mailing Address - Street 2:
Mailing Address - City:BEACON
Mailing Address - State:NY
Mailing Address - Zip Code:12508-2103
Mailing Address - Country:US
Mailing Address - Phone:845-831-7258
Mailing Address - Fax:845-831-5178
Practice Address - Street 1:386 LIBERTY ST
Practice Address - Street 2:
Practice Address - City:BEACON
Practice Address - State:NY
Practice Address - Zip Code:12508-2103
Practice Address - Country:US
Practice Address - Phone:845-831-7258
Practice Address - Fax:845-831-5178
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY001356-1133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
P2392735OtherOXFORD
NY000000087976OtherGHI HMO
NY9152E1OtherBLUE CROSS BLUE SHIELD
NY9740994OtherGHI PPO
2149978OtherUNITED HEALTHCARE
5C6218OtherHEALTHNET
714023OtherMVP
7153232OtherAETNA
9418630OtherPHCS
2149978OtherUNITED HEALTHCARE