Provider Demographics
NPI:1295347300
Name:PALMERTON, EMILY MARIE (RD, CSCS, CDN, LD)
Entity type:Individual
Prefix:MS
First Name:EMILY
Middle Name:MARIE
Last Name:PALMERTON
Suffix:
Gender:F
Credentials:RD, CSCS, CDN, LD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21 CHAMBERLIN DR
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14210-2611
Mailing Address - Country:US
Mailing Address - Phone:716-861-5100
Mailing Address - Fax:
Practice Address - Street 1:101 SCHILLING RD STE 40A
Practice Address - Street 2:
Practice Address - City:HUNT VALLEY
Practice Address - State:MD
Practice Address - Zip Code:21031-1137
Practice Address - Country:US
Practice Address - Phone:716-861-5100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-19
Last Update Date:2024-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY011132133V00000X
FLTPND544133V00000X
MDDX607133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered