Provider Demographics
NPI:1669708954
Name:PALMA, ERIN TAYLOR (RDN CDN CDE HERBLST)
Entity type:Individual
Prefix:MRS
First Name:ERIN
Middle Name:TAYLOR
Last Name:PALMA
Suffix:
Gender:F
Credentials:RDN CDN CDE HERBLST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:44 HEATHERWOOD RD
Mailing Address - Street 2:
Mailing Address - City:FAIRPORT
Mailing Address - State:NY
Mailing Address - Zip Code:14450-1135
Mailing Address - Country:US
Mailing Address - Phone:585-770-4401
Mailing Address - Fax:
Practice Address - Street 1:44 HEATHERWOOD RD
Practice Address - Street 2:
Practice Address - City:FAIRPORT
Practice Address - State:NY
Practice Address - Zip Code:14450-1135
Practice Address - Country:US
Practice Address - Phone:585-770-4401
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-10-22
Last Update Date:2020-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY887482133VN1006X, 133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
No133VN1006XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, Metabolic