Provider Demographics
NPI:1831564616
Name:LINDSAY-ADLER, DIANE (RD)
Entity type:Individual
Prefix:
First Name:DIANE
Middle Name:
Last Name:LINDSAY-ADLER
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:DIANE
Other - Middle Name:MARIE
Other - Last Name:LINDSAY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:33 PEACH TREE LN
Mailing Address - Street 2:
Mailing Address - City:BRIARCLIFF MANOR
Mailing Address - State:NY
Mailing Address - Zip Code:10510-2638
Mailing Address - Country:US
Mailing Address - Phone:914-316-2189
Mailing Address - Fax:914-944-1655
Practice Address - Street 1:19 BRADHURST AVE
Practice Address - Street 2:
Practice Address - City:HAWTHORNE
Practice Address - State:NY
Practice Address - Zip Code:10532-2140
Practice Address - Country:US
Practice Address - Phone:914-493-7585
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-12-05
Last Update Date:2015-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY86029014133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered