Provider Demographics
NPI:1386806891
Name:RIGHT SIZE KIDS, INC.
Entity type:Organization
Organization Name:RIGHT SIZE KIDS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LYNN
Authorized Official - Middle Name:
Authorized Official - Last Name:DUROCHER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:315-295-3000
Mailing Address - Street 1:117 HIGHBRIDGE ST STE U2B
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:13066-1952
Mailing Address - Country:US
Mailing Address - Phone:315-295-3000
Mailing Address - Fax:315-295-0375
Practice Address - Street 1:117 HIGHBRIDGE ST STE U2B
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:NY
Practice Address - Zip Code:13066-1952
Practice Address - Country:US
Practice Address - Phone:315-295-3000
Practice Address - Fax:315-295-0375
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-26
Last Update Date:2008-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY933587133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Multi-Specialty