Provider Demographics
NPI:1386750784
Name:ROSATO, VALERIE ANN (RD, CDN)
Entity type:Individual
Prefix:
First Name:VALERIE
Middle Name:ANN
Last Name:ROSATO
Suffix:
Gender:F
Credentials:RD, CDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:226 W WASHINGTON ST
Mailing Address - Street 2:APARTMENT #4
Mailing Address - City:BATH
Mailing Address - State:NY
Mailing Address - Zip Code:14810-1426
Mailing Address - Country:US
Mailing Address - Phone:607-664-4910
Mailing Address - Fax:607-664-4527
Practice Address - Street 1:76 VETERANS AVE
Practice Address - Street 2:
Practice Address - City:BATH
Practice Address - State:NY
Practice Address - Zip Code:14810-0810
Practice Address - Country:US
Practice Address - Phone:607-664-4910
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered