Provider Demographics
NPI:1013155001
Name:ADEL, ROBIN SPEIER (MA, RD, CDN)
Entity type:Individual
Prefix:MRS
First Name:ROBIN
Middle Name:SPEIER
Last Name:ADEL
Suffix:
Gender:F
Credentials:MA, RD, CDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:93 EDGEWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:TONAWANDA
Mailing Address - State:NY
Mailing Address - Zip Code:14223-2801
Mailing Address - Country:US
Mailing Address - Phone:716-835-4978
Mailing Address - Fax:
Practice Address - Street 1:93 EDGEWOOD AVE
Practice Address - Street 2:
Practice Address - City:TONAWANDA
Practice Address - State:NY
Practice Address - Zip Code:14223-2801
Practice Address - Country:US
Practice Address - Phone:716-835-4978
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-28
Last Update Date:2009-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY002466-1133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered